Russak Dermatology PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

249307-1 Issued in NY

Legal business name

RUSSAK DERMATOLOGY PC

Practice address

115 E 57TH St
12TH Floor
New York, NY 10022-2049

Phone

(212) 684-5964

NPI assigned

Jan 21, 2013

Organization subpart

No

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

Authorized official

Name

Julie E Russak, MD

Title

Owner

Phone

(212) 684-5964

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yulianna Russak, M.D.

  • Dermatology Physician
  • Lebanon, NH
  • NPI 1962553875

  NY

  Medicare reassignment NPD
• Elina Ashirova, PA-C

  • Physician Assistant
  • New York, NY
  • NPI 1386325603
  Medicare reassignment
• Iris Looi

  • Physician Assistant
  • New York, NY
  • NPI 1326412495
  Medicare reassignment
• Amanda K Doyle, M.D.

  • Dermatology Physician
  • Brooklyn, NY
  • NPI 1497049548
  NPD

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

{
    "created_epoch": "1358726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1487992871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "12TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-684-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E 57TH ST",
            "address_2": "12TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222049",
            "telephone_number": "212-684-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSAK DERMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-21",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "RUSSAK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-684-5964",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "249307-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Ruskay-Kidd
• Greg Ruskin, MD
• Melissa Andriani Rusli, MD
• Frances Rusnack
• William Ruspantini
• Barbara Ann Russek, PSYD
• Franklin David Russek, M.D.
• Russel C Huang MD PC
• Russell Anthony Martin Psychotherapy LCSW PC
• Russell E. Windsor, M.D., P.C.

• Medical Specialty Clinic/Center in New York, NY
• Providers in New York, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.