Individual provider

Carol Russell, DO

Obstetrics & Gynecology Physician Medicare enrolled

Carol Russell, DO is an Obstetrics & Gynecology Physician in Montclair, NJ, registered under NPI 1265580096.

Getting there

The practice address on file is 1 BAY AVE, Montclair, NJ 07042. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1 BAY AVE, Montclair, NJ 07042 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
238185 NY Obstetrics & Gynecology Physician primary

This provider holds licence 238185 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Obstetrics/gynecology
PAC ID
6507957867

Enrolled in Medicare 3 times, across 3 states:

StateEnrollment IDProvider type
New York I20070801000429 Practitioner - Obstetrics/gynecology
New Jersey I20150204000905 Practitioner - Obstetrics/gynecology
North Carolina I20240521004587 Practitioner - Obstetrics/gynecology

Medicare enrolment is recorded as approved under the provider type Practitioner - Obstetrics/gynecology. There are 3 separate enrolment records across 3 states (NY, NJ, NC). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Obstetrics & Gynecology covers

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. NUCC Health Care Provider Taxonomy, code 207V00000X
Allopathic & Osteopathic Physicians Obstetrics & Gynecology

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1265580096 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJan 8, 2007
Last updatedFeb 20, 2017
StatusActive
Sole proprietorNo
GenderFemale
CredentialDO
Practice address 1 BAY AVE
Montclair, NJ 07042
(973) 429-6000
Fax (973) 429-6209
Mailing address 452 OLD HOOK RD 2ND FLOOR
Emerson, NJ 07630
Other identifiers 02832057 · Medicaid (NY)
This record was last updated on Feb 20, 2017, roughly 9 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1265580096 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 6 5 5 8 0 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 3 5 1 8 0 0 9

Sum = 54 · next multiple of 10 = 60 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1265580096?
NPI 1265580096 is the National Provider Identifier assigned to Carol Russell, DO in Montclair, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Obstetrics & Gynecology Physician cover?
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
How do I contact Carol Russell, DO?
The phone number on file with NPPES is (973) 429-6000, last updated Feb 20, 2017. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Carol Russell, DO accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1265580096 a valid number?
Yes. 1265580096 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.