Gabrielle Russillo, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00713400 Issued in NJ

Practice address

222 Columbia Tpke Ste 280
Florham Park, NJ 07932-1299

Phone

(973) 541-8138

Fax

(973) 800-1949

NPI assigned

Jul 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forefront Dermatology - East Professional, LLC

  • Dermatology Physician
  • Florham Park, NJ
  • NPI 1265008940
  Medicare reassignment

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780358400000",
    "number": "1154054955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 COLUMBIA TPKE STE 280",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079321299",
            "telephone_number": "973-541-8138",
            "fax_number": "973-800-1949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSILLO",
        "first_name": "GABRIELLE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-08",
        "last_updated": "2026-06-02",
        "certification_date": "2026-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00713400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Rozgonyi
• RPM Plus LLC
• Rebecca Rubinstein
• Kirsten A. Ruhl, PA-C
• Andrew Ruiz, MPT
• Janis A Ruvo, D.M.D.
• James Edward Rynar, DMD
• S.P. Associates, D.O., P.C.
• Anchal N/a Sabharwal, MD
• Kavita R Sabnani- Nagella, M.D.

• Physician Assistant in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.