Dr Marc William Russo, MD | |
300 Central Ave, East Orange, NJ 07018-2819 | |
(973) 266-8400 | |
(845) 357-5777 |
Full Name | Dr Marc William Russo |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 18 Years |
Location | 300 Central Ave, East Orange, New Jersey |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073717658 | NPI | - | NPPES |
03534714 | Medicaid | NY | |
3885700619 | Other | MYUTMB 3885700619-COMMERCIAL NUMBER | |
0243451 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 255454 (New York) | Secondary |
207L00000X | Anesthesiology | 25MA08706700 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Palisades Medical Center | North bergen, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Parkway Anesthesia Associates Llc | 2567758931 | 147 |
Entity Name | North American Partners In Anesthesia Of New Jersey Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548433048 PECOS PAC ID: 5890867410 Enrollment ID: O20080626000318 |
Entity Name | Parkway Anesthesia Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518319755 PECOS PAC ID: 2567758931 Enrollment ID: O20160912000258 |
Entity Name | Bay Anesthesia |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063151546 PECOS PAC ID: 0446639306 Enrollment ID: O20220623000548 |
Mailing Address | Practice Location Address |
---|---|
Dr Marc William Russo, MD 100 Route 59, Suite 105, Suffern, NY 10901-4927 Ph: (845) 357-5775 | Dr Marc William Russo, MD 300 Central Ave, East Orange, NJ 07018-2819 Ph: (973) 266-8400 |
Mohammed Dastghaib, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 300 Central Ave, East Orange, NJ 07018 Phone: 973-672-8400 | |
Amatullah Saafir, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 87 N 19th St, East Orange, NJ 07017 Phone: 908-937-6609 | |
Dr. Meeta Y Joshi, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 | |
John Walter Katz Jr., M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 385 Tremont Ave, Dept. Of Surgery, East Orange, NJ 07018 Phone: 973-676-1000 Fax: 973-395-7193 | |
Dr. Ian Kirk, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, Dept Of Anesthesiology, East Orange, NJ 07018 Phone: 973-676-1000 | |
Dr. Minaxi I Desai, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 385 Tremont Ave, East Orange, NJ 07018 Phone: 973-676-1000 |