DR. MARC WILLIAM RUSSO (MD) – Anesthesiology Physician, NPI 1073717658
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,668 ANESTHESIOLOGY in NJ
Provider Addresses for DR. MARC WILLIAM RUSSO (MD)
66 W GILBERT ST STE 100
TINTON FALLS, NJ 077014948
Phone: (732) 212-0060
Fax: (732) 212-0061
Type: Mailing
7600 RIVER RD
NORTH BERGEN, NJ 070476217
Phone: (212) 854-5000
Type: Location
100 ROUTE 59
SUITE 105
SUFFERN, NY 109014927
Phone: (845) 357-5775
Fax: (845) 357-5777
Type: Mailing
East Orange General Hospital, 300, Central Avenue, East Orange, Essex County, New Jersey, 07018, United States
EAST ORANGE, NJ 070182819
Phone: (973) 266-8400
Fax: (845) 357-5777
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101215000302 | I | Anesthesiology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 07701)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | NJ | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 12 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| Certified Registered Nurse Anesthetist (Crna) | NY | |
| A N E S T H E S I O L O G Y | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| A N E S T H E S I O L O G Y | MA | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| Certified Registered Nurse Anesthetist (Crna) | NJ | |
| A N E S T H E S I O L O G Y | NJ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.