DR. RUSSELL JAFFE MD NPI 1114122371

NPI Information

  • NPI: 1114122371
  • Provider Name: DR. RUSSELL JAFFE, MD
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 800 5TH AVE
    NEW YORK, NY
    ZIP 10021
  • Phone: (703) 788-5101

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NPI Details

DR. Russell Jaffe, MD is a professional counselor in New York, NY. DR. Russell Jaffe, MD NPI is 1114122371. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

800 5TH AVE
NEW YORK, NY
ZIP 10021-216
Phone: (703) 788-5101
Fax: (703) 255-1389

The enumeration date for this NPI number is 6/18/2007 and was last updated on 9/11/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional18313DISTRICT OF COLUMBIAYes
2133NN1002XNutritionistNutrition, Education18313DISTRICT OF COLUMBIANo
3207RI0001XInternal MedicineClinical & Laboratory Immunology18313DISTRICT OF COLUMBIANo
4209800000XLegal Medicine18313DISTRICT OF COLUMBIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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