Gina Rossillo, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

004956 Issued in NY

Practice address

110 Chatsworth Ave
Larchmont, NY 10538-2901

Phone

(914) 834-1844

Fax

(914) 834-5915

NPI assigned

Jan 18, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124171822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 CHATSWORTH AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382901",
            "telephone_number": "914-834-1844",
            "fax_number": "914-834-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHATSWORTH AVE",
            "city": "LARCHMONT",
            "state": "NY",
            "postal_code": "105382901",
            "telephone_number": "914-834-1844",
            "fax_number": "914-834-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSSILLO",
        "first_name": "GINA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "004956",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P674427",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "LV20494",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE",
            "identifier": "C294C",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "NY4956",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maj-Britt Rosenbaum, M.D.
• Edward S Rosenblum, D.D.S.
• Mark David Rosenstein, DDS
• Sarah Rosenwasser, LMSW
• Amy Jill Ross, PH.D.
• Robert D Roy, M.D.
• Mitchell Rubin, DPM
• Josephine Sabrina Russo, OD
• Julia Marie Sabatino, MHC-LP
• Michele Caryn Sacks, PHD

• Optometrist in Larchmont, NY
• Providers in Larchmont, NY by specialty
• Optometrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.