DR. ROBIN RUSSELL MD NPI 1659454825

NPI Information

NPI: 1659454825
Provider Name: DR. ROBIN RUSSELL, MD
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
4141 CARPENTER AVE
RENAL UNIT
BRONX, NY
ZIP 10466
Phone: (718) 920-9041
Get Directions

DR. Robin Russell, MD is a nephrology internal medicine in Bronx, NY with 60 years of experience. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. DR. Robin Russell, MD NPI is 1659454825. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW MEXICO SCHOOL OF MEDICINE
Graduation Year:1964

The provider's business location address is:

4141 CARPENTER AVE
RENAL UNIT
BRONX, NY
ZIP 10466-600
Phone: (718) 920-9041
Fax: (718) 920-9043

The NPI 1659454825 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/23/2006 and was last updated on 11/20/2009.

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
1	207RN0300X	Internal Medicine	Nephrology	116127	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	B79305	MEDICARE UPIN	NEW YORK
2	3399733	OTHER		GHI
3	GP223	OTHER		OXFORD
4	00346805	MEDICAID	NEW YORK
5	5122389	OTHER		AETNA
6	76A421	MEDICARE PIN	NEW YORK
7	6X6051	OTHER		BLUE CROSS
8	116127	OTHER		HIP

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: 4/28/2024

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