Individual ProviderRussell T. AlpertFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address64 Bleecker St # 151, New York, NY 10012-2410(302) 810-1584PECOS EnrollmentBased on the most recent information from CMS, provider Russell T. Alpert does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:15 AM.Profile DetailsProvider ID1235182544Provider TypeIndividualFull NameAlpert, Russell T.TitleDr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/18/2006Last Updated1/28/2021Contact InformationPractice LocationPractice Address64 Bleecker St # 151, New York, NY 10012-2410Phone(302) 810-1584FaxUnlisted FaxMailing LocationMailing Address64 Bleecker St # 151, New York, NY 10012-2410Phone(302) 810-1584FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense303188New YorkCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseA67486CaliforniaProvider IdentifiersIDDescriptionIssuerID00A674860DescriptionMedicaidIssuerUnlistedCalifornia