Individual provider · Type 1 NPI

Nicholas John Russo, MD

Vascular Surgery Physician · Neptune City, NJ

NPI number 1679005649 Active

Practice location

19 Davis Ave Fl 4
Neptune City, NJ 07753-4488

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Vascular Surgery Physician Primary 2086S0129X25MA11351700 (NJ)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

15 other providers at this address

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About NPI 1679005649

Nicholas John Russo, MD's National Provider Identifier is 1679005649, issued on Mar 29, 2017. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Neptune City, NJ. The record was last updated on Jul 28, 2025.