Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Aidan Russo, PHYSICIANASSISTANT

Individual provider Medical Physician Assistant · NPI 1689259772

Aidan Russo, PHYSICIANASSISTANT is a Physician Assistant in Livingston, New Jersey. Qualified in 2020, 6 years ago. Practices with Bobby Buka, MD, PC, a 143-clinician group and accepts Medicare assignment.

Years since qualifying
6
In the registry since
2021
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Practice location Address checks out

15 Longview Rd
Livingston, NJ 07039-3621
Phone: (973) 650-1063
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1689259772
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedMarch 10, 2021
Last updated in NPPESMarch 10, 2021
Certification dateMarch 10, 2021
Mailing address15 Longview Rd, Livingston, NJ 07039-3621

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bobby Buka, M.D., P.C. — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Livingston