Active NPI
Mark Joseph Russo, M.D., M.S
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- New Brunswick, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 25MA09214100
- Practice address
- 1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928 - Phone
- (732) 828-3000
- NPI assigned
- Mar 16, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 234808 | NY | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 25MA09214100 | NJ | Primary |
Addresses
Primary practice location
1 Robert Wood Johnson PL
New Brunswick, NJ 08901-1928
Mailing address
PO Box 829642
Philadelphia, PA 19182-9642
Phone (866) 470-6626
Other practice location 1
201 Lyons Avenue
Newark Beth Israel Medical Center
Newark, NJ 07112
Phone (973) 926-7905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- University of Rochester School of Medicine and Dentistry, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Robert Wood Johnson PL
Rutgers Health RWJ Transplant Progm
New Brunswick, NJ 08901-1928
Phone (732) 235-7920
Hospital & facility affiliations
- Visiting Nurse Association of Central Jersey Home Care and Hospice
- Robert Wood Johnson Visiting Nurses, Inc
- Robert Wood Johnson University Hospital
- Monmouth Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 27 |
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 234808 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Rutgers Health-RWJ Neurosurgery Faculty | Current | Accepting new patients | |
| Nbimc Department of Cardio-Thoracic | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Barnabas Health Medical Group, PC | Specialist | Current | Accepting new patients |
| Rutgers Health-RWJ Neurosurgery Faculty | Past | Accepting new patients | |
| Robert Wood Johnson University Hospital, Inc | Past | Accepting new patients |
Locations
1 Rwj Pl
New Brunswick, NJ 08901
Phone (732) 235-7887
210 Somerset St
Fl 7
New Brunswick, NJ 08901
125 Paterson St
Ste 4100
New Brunswick, NJ 08901
Phone (732) 235-7756
125 Paterson St
New Brunswick, NJ 08901
Phone (732) 235-6511
201 Lyons Ave
Newark, NJ 07112
Phone (732) 923-7455
201 Lyons Ave
#L5
Newark, NJ 07112
Phone (973) 926-7161
780 Route 37 W
Ste 120
Toms River, NJ 08755
Phone (732) 736-5694
223 Monmouth Rd
West Long Branch, NJ 07764
Phone (732) 229-3838
Interoperability endpoints
- mrusso15070@epicdirect.rwjbh.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- New Brunswick, NJ
- NPI 1710012604
-
- Specialist
- West Orange, NJ
- NPI 1447206420
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Newark, NJ
- NPI 1538127204
-
- Durable Medical Equipment & Medical Supplies
- Neptune, NJ
- NPI 1861290744
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
-
- Pediatric Surgery Physician
- New Brunswick, NJ
- NPI 1487736146
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Branch, NJ
- NPI 1609983790
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
-
- Home Health Agency
- North Brunswick, NJ
- NPI 1588809248
-
- Community Based Hospice Care Agency
- North Brunswick, NJ
- NPI 1700968609
Home health agency
-
- Home Health Agency
- Toms River, NJ
- NPI 1912964818
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699574400000",
"number": "1326289786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 829642",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191829642",
"telephone_number": "866-470-6626",
"fax_number": "413-599-0470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 ROBERT WOOD JOHNSON PL",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011928",
"telephone_number": "732-828-3000"
}
],
"practiceLocations": [
{
"address_1": "201 Lyons Avenue",
"address_2": "Newark Beth Israel Medical Center",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "NJ",
"postal_code": "07112",
"country_code": "US",
"telephone_number": "973-926-7905",
"fax_number": "973-923-4683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUSSO",
"first_name": "MARK",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D., M.S",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-03-16",
"last_updated": "2023-11-10",
"certification_date": "2023-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "234808",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NJ",
"license": "25MA09214100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Brunswick, NJ
- Kathryn Elizabeth Ruhnke, MSPT
- Christian Franco Gonzales Ruiz, MD
- Samira Ruiz, PA-C
- Eileen Susan Russo, M.D.
- Marco Joseph Russo, MD, PHD
- Vinod Kumar Rustgi, MD
- Bruno Rustico, DNP, FNP-C
- Rutgers Cancer Institute of New Jersey
- Rutgers Cancer Institute of New Jersey
- Rutgers Center for Adult Autism Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.