DAVID P RUSSO M.D. FACS NPI 1588647143

NPI Information

  • NPI: 1588647143
  • Provider Name: DAVID P RUSSO, M.D., FACS
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • Address: 133 POLK LN
    BRIDGETON, NJ
    ZIP 08302
  • Phone: (800) 761-7575

Map and Directions

Get Directions

NPI Details

David P Russo, M.D., FACS is an addiction medicine internal medicine in Bridgeton, NJ. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. David P Russo, M.D., FACS NPI is 1588647143. 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:

133 POLK LN
BRIDGETON, NJ
ZIP 08302-905
Phone: (800) 761-7575

The enumeration date for this NPI number is 11/28/2005 and was last updated on 8/14/2020.

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
1207RA0401XInternal MedicineAddiction Medicine25MA05056300NEW JERSEYYes
2208600000XSurgery25MA05056300NEW JERSEYNo

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI