Gary E Russolillo MD PC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

GARY E RUSSOLILLO MD PC

Practice address

970 Farmington Ave
West Hartford, CT 06107-2139

Phone

(860) 521-2200

Fax

(860) 521-2605

NPI assigned

Mar 23, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Gary Edward Russolillo, MDNPI 1518046358

Title

President

Phone

(860) 521-2200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, CT2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Edward Russolillo, M.D.

  • Plastic Surgery Physician
  • West Hartford, CT
  • NPI 1518046358

  MA

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1710128699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072139",
            "telephone_number": "860-521-2200",
            "fax_number": "860-521-2605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 FARMINGTON AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072139",
            "telephone_number": "860-521-2200",
            "fax_number": "860-521-2605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY E RUSSOLILLO MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "RUSSOLILLO",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-521-2200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Marie Marie Galli
• Janet MK Gangaway, PT, OCS, ATC
• John A Gannatti, DDS
• Darwin Garcia-Nunez
• Rocio Del Carmen Garcia, RN
• Dori Gatter, LPC
• Alexander Rudolf Gaudio, M.D.
• Christine Palluotto Gaudio, LCSW
• Odell Gauntlett, RN
• Jodyan K Gaynor, MA

• Plastic Surgery Physician in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Plastic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.