Active NPI
Josephine Russ, DMD
- Dentist
- Voorhees, NJ
National Provider Identifier
1407690506
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 22DI03104600
- Practice address
- 1307 White Horse Rd Unit 500
Voorhees, NJ 08043-2176 - Phone
- (856) 628-3400
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Dentist | 122300000X | DS045205 | PA | |
| Dentist | 122300000X | 22DI03104600 | NJ | Primary |
Addresses
Primary practice location
1307 White Horse Rd Unit 500
Voorhees, NJ 08043-2176
Mailing address
5501 Old York Rd Ste 1
Philadelphia, PA 19141-3098
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI03104600 | NJ | MD | Dentist |
| DS045205 | PA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1407690506",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 OLD YORK RD STE 1",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191413098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 WHITE HORSE RD UNIT 500",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432176",
"telephone_number": "856-628-3400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSS",
"first_name": "JOSEPHINE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "PA",
"license": "DS045205",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": "22DI03104600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.