1. Home
  2. Directory
  3. New Jersey
  4. Livingston
  5. Physician Assistant
  6. NPI Profile

SAMANTHA RYLLO PA
NPI 1477230308
Physician Assistant in Livingston, NJ

Active since July 03, 2023PECOS EnrolledAccepts Medicare Assignment
200 S ORANGE AVE STE 102, LIVINGSTON, NJ 07039(973) 322-7020 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2023, Jul 3, 2023 (2 updates tracked since 2023).

About Samantha Ryllo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA RYLLO PA (NPI 1477230308) is an individual physician assistant in Livingston, New Jersey, licensed in New Jersey (25MP00876300) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1477230308
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSAMANTHA RYLLOCredential: PA
Location Address200 S ORANGE AVE STE 102Livingston, NJ 07039-5817
Mailing Address379 Campus Dr Fl 4Somerset, NJ 08873-1161
Phone(973) 322-7020
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 3, 2023
Last NPPES UpdateOctober 23, 20242 updates tracked since enumeration
NPPES CertifiedOctober 23, 2024
✔ NPI 1477230308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00876300
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 030278 (NY)
200 S ORANGE AVE STE 102, Livingston, NJ 07039
Open in Google Maps ↗

Secondary Practice Location 1

Location 11901 1st AveNew York, NY 10029-7491 · Phone (212) 423-6262

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Ryllo Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4385090109
PECOS Enrollment IDI20241202001874
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Ryllo's NPI number?

The NPI number for Samantha Ryllo is 1477230308. It was assigned to this individual provider in the NPPES registry on July 3, 2023.

Where is Samantha Ryllo located?

Samantha Ryllo practices at 200 S Orange Ave Ste 102, Livingston, NJ 07039. The listed phone number is (973) 322-7020.

What is Samantha Ryllo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Samantha Ryllo enrolled in Medicare?

Yes. Samantha Ryllo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samantha Ryllo affiliated with any hospitals?

According to CMS data, Samantha Ryllo is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Ryllo was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.