Gerald E Russell III, MS, RN, NREMT, NRCMA

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

N38104 Issued in NY

Practice address

13640 State Route 22
Canaan, NY 12029-3504

Phone

(518) 704-2740

Fax

(518) 751-2284

NPI assigned

Apr 13, 2026

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

Practice roles

Locations

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.

• Darrow School

  • Student Health Clinic/Center
  • Canaan, NY
  • NPI 1538733720
  NPD Authorized official

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1972446136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13640 STATE ROUTE 22",
            "city": "CANAAN",
            "state": "NY",
            "postal_code": "120293504",
            "telephone_number": "518-704-2740",
            "fax_number": "518-751-2284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13640 STATE ROUTE 22",
            "city": "CANAAN",
            "state": "NY",
            "postal_code": "120293504",
            "telephone_number": "518-704-2740",
            "fax_number": "518-751-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "GERALD",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "MS, RN, NREMT, NRCMA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N38104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darrow School
• Paula Kaplan-Reiss
• Louise Maron, PH.D.
• Athina Mizero, LMSW
• Christinia Lyinn-Marie Mortimer, LPN
• Aileen Jeanelle Smith-Valley, MA
• Together for Youth
• Together for Youth

• All providers in Canaan, NY
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.