DR. MICHAEL S. RUSSO (DPT) – Physical Therapist, NPI 1619948973

DR. MICHAEL S. RUSSO (DPT) is a healthcare provider. based in Bayonne, New Jersey. specializing in Physical Therapist. They hold the professional credentials DPT. They hold a License No. 40QA00991200 (NJ). The NPI Number for DR. MICHAEL S. RUSSO (DPT) is 1619948973

Main info

Male
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
DR. MICHAEL S. RUSSO (DPT)
NPI
1619948973
Phone
(201) 339-1109
Address
864 BROADWAY
Enumeration Date
26 January 2006
Last Update Date
5 August 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
0941277479
Professional Enrollment ID
I20040929000154
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. MICHAEL S. RUSSO (DPT)

  • 864, Broadway, Port Johnson, Bayonne, Hudson County, New Jersey, 07002, United States

    BAYONNE, NJ 070023054

    Phone: (201) 339-1109

    Fax: (908) 353-1505

    Type: Mailing

  • 10 Church Towers, Clinton Street, Hoboken, Hudson County, New Jersey, 07030, United States

    HOBOKEN, NJ 07030

    Phone: (201) 401-9687

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 07002)

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Reviews

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Frequently asked questions

Can I cross-check DR. MICHAEL S. RUSSO (DPT) using NPI 1619948973?
NPI 1619948973 belongs to DR. MICHAEL S. RUSSO (DPT); compare other details if you need extra assurance.
Active or inactive — what applies to DR. MICHAEL S. RUSSO (DPT)?
You should see DR. MICHAEL S. RUSSO (DPT) as active in CMS-hosted NPPES data.
What clinical focus is listed for DR. MICHAEL S. RUSSO (DPT)?
At a glance, DR. MICHAEL S. RUSSO (DPT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DR. MICHAEL S. RUSSO (DPT) associated with Bayonne?
Public fields place DR. MICHAEL S. RUSSO (DPT) around Bayonne, New Jersey. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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