Gabrielle Russillo, PA-C
Physician Assistant in Florham Park, New Jersey
1154054955- Practice location
- 222 Columbia Tpke Ste 280, Florham Park, NJ 07932-1299
- Phone
- 973-541-8138
- Fax
- 973-800-1949
- Last updated
- June 2, 2026
Gabrielle Russillo is a Physician Assistant based in Florham Park, NJ. Gabrielle Russillo practices in Florham Park, NJ and has the professional credentials of PA-C. The NPI Number for Gabrielle Russillo is 1154054955 and holds a License No. 25MP00713400 (NJ). The current practice location address for Gabrielle Russillo is 222 Columbia Tpke Ste 280, Florham Park, NJ 07932-1299 and can be reached out via phone at 973-541-8138 and via fax at 973-800-1949.
Provider Profile Details
- NPI Number
- 1154054955
- Provider Name
- Gabrielle Russillo
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 222 Columbia Tpke Ste 280, Florham Park, NJ 07932-1299
- Phone Number
- 973-541-8138
- Fax Number
- 973-800-1949
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 8, 2022
- Last Update Date
- June 2, 2026
- Certification Date
- June 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 222 Columbia Tpke Ste 280
Florham Park, NJ 07932-1299 - City
- Florham Park
- State
- New Jersey
- Zip
- 07932-1299
- Phone Number
- 973-541-8138
- Fax Number
- 973-800-1949
Provider Business Mailing Address Details
- Address
- 801 York St
Manitowoc, WI 54220-4630 - City
- Manitowoc
- State
- WI
- Zip
- 54220-4630
- Phone Number
- 920-663-9008
- Fax Number
- 920-684-1439
License Information
- License Number
- 25MP00713400
- License State
- NJ
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Gabrielle Russillo, PA-C?
The NPI number of Gabrielle Russillo, PA-C is 1154054955. It was assigned on July 8, 2022 and is currently active in the NPPES registry.
What is the specialty of Gabrielle Russillo, PA-C?
Gabrielle Russillo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00713400.
Where does Gabrielle Russillo, PA-C practice?
The practice location is 222 Columbia Tpke Ste 280, Florham Park, NJ 07932-1299. The office can be reached at 973-541-8138 (phone) or 973-800-1949 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1154054955 directly on the NPPES registry website.