Victoria Russo, PA
Physician Assistant in Port Monmouth, New Jersey
1508449026- Practice location
- 363 State Route 36, Port Monmouth, NJ 07758-1359
- Phone
- 732-471-0400
- Fax
- 732-471-7949
- Last updated
- October 9, 2024
Victoria Russo is a Physician Assistant based in Port Monmouth, NJ. Victoria Russo practices in Port Monmouth, NJ and has the professional credentials of PA. The NPI Number for Victoria Russo is 1508449026. The current practice location address for Victoria Russo is 363 State Route 36, Port Monmouth, NJ 07758-1359 and can be reached out via phone at 732-471-0400 and via fax at 732-471-7949.
Provider Profile Details
- NPI Number
- 1508449026
- Provider Name
- Victoria Russo
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 363 State Route 36, Port Monmouth, NJ 07758-1359
- Phone Number
- 732-471-0400
- Fax Number
- 732-471-7949
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Other Names
- Victoria Cognata, PA (Former Name)
- Provider Enumeration Date
- May 3, 2021
- Last Update Date
- October 9, 2024
- Certification Date
- October 9, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 363 State Route 36
Port Monmouth, NJ 07758-1359 - City
- Port Monmouth
- State
- New Jersey
- Zip
- 07758-1359
- Phone Number
- 732-471-0400
- Fax Number
- 732-471-7949
Provider Business Mailing Address Details
- Address
- Po Box 8519
Red Bank, NJ 07701-8519 - City
- Red Bank
- State
- NJ
- Zip
- 07701-8519
- Phone Number
- 732-460-9840
- Fax Number
- 732-460-9848
License Information
- 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 Victoria Russo, PA?
The NPI number of Victoria Russo, PA is 1508449026. It was assigned on May 3, 2021 and is currently active in the NPPES registry.
What is the specialty of Victoria Russo, PA?
Victoria Russo, PA is registered under the primary taxonomy Physician Assistant (code 363A00000X).
Where does Victoria Russo, PA practice?
The practice location is 363 State Route 36, Port Monmouth, NJ 07758-1359. The office can be reached at 732-471-0400 (phone) or 732-471-7949 (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 1508449026 directly on the NPPES registry website.