Russell Griesback, D.O.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

MB02248100 Issued in NJ

Practice address

42 E Laurel Rd
Udp 3100
Stratford, NJ 08084-1354

Phone

(856) 566-6859

Fax

(856) 566-6952

NPI assigned

Jan 19, 2006

Last updated

Sep 27, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790467200000",
    "number": "1598745085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "UDP 3100",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-6859",
            "fax_number": "856-566-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "UDP 3100",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "856-566-6859",
            "fax_number": "856-566-6952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIESBACK",
        "first_name": "RUSSELL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2026-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB02248100",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "MB02248100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1853503",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kalashree Gopal
• Robert Gordon, D.O.
• Janet Ramos Grabo, MPT
• Lynne S Gradinger, M.D.
• Shay Greco
• Karina Guaman
• Michelle Guida, NP
• Pavani Gunda, M.D.
• Nithin Kumar Gupta, DO
• Gus Pharmacy, LLC (Kennedy Pharmacy)

• Pulmonary Disease Physician in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Pulmonary Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.