Nicholas Russo, MD
NPI 1174151930 · Family Medicine Physician · New York, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nicholas Russo, MD is a Family Medicine Physician provider in New York, NY (NPI 1174151930).
Provider details
- NPI number
- 1174151930
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure33% of score
6 yrs in NPPES registry
- Profile completeness33% of score
83% of core fields populated
- Practice footprint20% of score
2 documented practice locations
- Open Payments transparency13% of score
Has Open Payments disclosures (2024)
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$135 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 30 Prospect AveHackensack, NJ 07601-1915Phone: (551) 996-2000
Registry dates
- Enumerated
- 2020-03-29
- Last updated
- 2025-03-14
- Certified
- 2025-03-14
Frequently asked questions
- What is Nicholas Russo's NPI number?
- Nicholas Russo's National Provider Identifier (NPI) is 1174151930, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicholas Russo's specialty?
- Nicholas Russo is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nicholas Russo located?
- Nicholas Russo's practice location on file with NPPES is 185 Broadway Fl 2, New York, NY 10007-0167.
- What is Nicholas Russo's phone number?
- The practice phone number listed in the NPPES registry for Nicholas Russo is (415) 658-6791.
- Does Nicholas Russo accept Medicare?
- Nicholas Russo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nicholas Russo's NPI active?
- Yes — Nicholas Russo's NPI (1174151930) is active in the NPPES registry as of the last update on 2025-03-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.