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

Samantha Ryllo, PA

Individual provider Surgical Physician Assistant · NPI 1477230308

Samantha Ryllo, PA is a Physician Assistant in Livingston, New Jersey. Qualified in 2023, 3 years ago. Practices with Barnabas Health Medical Group PC, a 1,025-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
3
Licensed in
NJ, NY
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 S Orange Ave Ste 102
Livingston, NJ 07039-5817
Phone: (973) 322-7020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1901 1st Ave, New York, NY 10029-7491 — (212) 423-6262

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00876300 (NJ)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 030278 (NY)

Record details

NPI number1477230308
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedJuly 3, 2023
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Barnabas Health Medical Group Pc — 1025 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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