NICHOLAS J. RUSSO M.D – NPI #1679005649
Surgery

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Health Care Provider Taxonomy Code for Surgery

NICHOLAS RUSSO is a surgeon located in NEPTUNE CITY, NJ. NPPES has assigned the NPI number 1679005649 to NICHOLAS RUSSO on March 29, 2017. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086S0129X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Vascular Surgery

The NPI profile was last updated on Jul 28, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NICHOLAS RUSSO below.

NPI Profile for
NICHOLAS J. RUSSO

NPI Number
1679005649
Enumeration Date

(more than 9 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
NICHOLAS J. RUSSO
Credentials
M.D
Primary location
19 DAVIS AVE FL 4
NEPTUNE CITY, NJ 07753-4488
Phone: (732) 212-6598 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Jul 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086S0129X
- Surgery / Vascular Surgery (Primary)		 NJ 25MA11351700
390200000X
- Student in an Organized Health Care Education/Training Program		 NY

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
NICHOLAS RUSSO is affiliated with the following medical group(s):
  • HOSPITAL
    • OCEAN MEDICAL CENTER
      425 JACK MARTIN BLVD
      BRICK, NJ 08724

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