Genevieve M Russo, PA-C
Physician Assistant in Rahway, New Jersey
1760110720- Practice location
- 865 Stone St, Rahway, NJ 07065-2742
- Phone
- 732-381-4200
- Fax
- —
- Last updated
- April 15, 2025
Genevieve Marie Russo is a Physician Assistant based in Rahway, NJ. Genevieve Marie Russo practices in Rahway, NJ and has the professional credentials of PA-C. The NPI Number for Genevieve Marie Russo is 1760110720 and holds a License No. 25MP00720800 (NJ). The current practice location address for Genevieve Marie Russo is 865 Stone St, Rahway, NJ 07065-2742 and can be reached out via phone at 732-381-4200.
Provider Profile Details
- NPI Number
- 1760110720
- Provider Name
- Genevieve Marie Russo
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 865 Stone St, Rahway, NJ 07065-2742
- Phone Number
- 732-381-4200
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 9, 2022
- Last Update Date
- April 15, 2025
- Certification Date
- April 15, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 865 Stone St
Rahway, NJ 07065-2742 - City
- Rahway
- State
- New Jersey
- Zip
- 07065-2742
- Phone Number
- 732-381-4200
Provider Business Mailing Address Details
- Address
- Po Box 2580
Philadelphia, PA 19147-0580 - City
- Philadelphia
- State
- PA
- Zip
- 19147-0580
- Phone Number
- 609-364-6072
License Information
- License Number (1)
- 25MP00720800
- License State (1)
- NJ
- Taxonomy (1)
- Physician Assistant, Medical · 363AM0700X
- License Number (2)
- 25MP00720800
- License State (2)
- NJ
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X
- License Number (3)
- 25MP00720800
- License State (3)
- NJ
- Taxonomy (3)
- 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 Genevieve M Russo, PA-C?
The NPI number of Genevieve M Russo, PA-C is 1760110720. It was assigned on August 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Genevieve M Russo, PA-C?
Genevieve M Russo, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NJ under license number 25MP00720800.
Where does Genevieve M Russo, PA-C practice?
The practice location is 865 Stone St, Rahway, NJ 07065-2742. The office can be reached at 732-381-4200 (phone).
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 1760110720 directly on the NPPES registry website.