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

Victoria Russo, PA

Individual provider Physician Assistant · NPI 1508449026

Victoria Russo, PA is a Physician Assistant in Port Monmouth, New Jersey. Qualified in 2021, 5 years ago. Practices with Central Jersey Urgent Care, a 80-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

363 State Route 36
Port Monmouth, NJ 07758-1359
Phone: (732) 471-0400
Fax: (732) 471-7949
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 — (732) 334-6500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1508449026
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 3, 2021
Last updated in NPPESOctober 9, 2024
Certification dateOctober 9, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Central Jersey Urgent Care — 80 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare