Individual provider Active NPI

Gregory Di Russo, MD

  • Research Study Specialist
  • Princeton Junction, NJ
National Provider Identifier
1316874233
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Study SpecialistTaxonomy code 1744R1102X
Practice address
12 Millbrook Dr
Princeton Junction, NJ 08550-2201
Phone
(609) 271-6355
Fax
(609) 378-5195
NPI assigned
May 5, 2026
Last updated
May 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Research Study Specialist 1744R1102X Primary

Addresses

Primary practice location

12 Millbrook Dr
Princeton Junction, NJ 08550-2201

Mailing address

12 Millbrook Dr
Princeton Junction, NJ 08550-2201
Phone (609) 271-6355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1777939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777939200000",
    "number": "1316874233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 MILLBROOK DR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085502201",
            "telephone_number": "609-271-6355",
            "fax_number": "609-378-5195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 MILLBROOK DR",
            "city": "PRINCETON JUNCTION",
            "state": "NJ",
            "postal_code": "085502201",
            "telephone_number": "609-271-6355",
            "fax_number": "609-378-5195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI RUSSO",
        "first_name": "GREGORY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-05-05",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744R1102X",
            "taxonomy_group": "",
            "desc": "Specialist, Research Study",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton Junction, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.