MRS. RANDI RUTH LARUSSA PHYSICIAN ASSISTANT
NPI 1699858258
Physician Assistant in Rochester, NY

Q: What is Randi Larussa's NPI number?

The NPI number for Randi Larussa is 1699858258. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Q: What is Randi Larussa's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Randi Larussa was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.

Active since October 24, 2006

435 E HENRIETTA RD, ROCHESTER, NY 14620(585) 760-5466(585) 760-5467 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Randi Ruth Larussa Physician Assistant NPPES

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

MRS. RANDI RUTH LARUSSA PHYSICIAN ASSISTANT (NPI 1699858258) is an individual physician assistant in Rochester, New York, licensed in New York (001164) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1699858258

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. RANDI RUTH LARUSSACredential: PHYSICIAN ASSISTANT

Location Address435 E HENRIETTA RDRochester, NY 14620-4629

Mailing Address100 St Camillus WayFairport, NY 14450 · (585) 377-4000 · Fax (585) 377-0013

Phone(585) 760-5466

Fax(585) 760-5467

Sole ProprietorNo

Enumeration DateOctober 24, 2006

Last NPPES UpdateSeptember 10, 2014

✔ NPI 1699858258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 001164

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.

435 E HENRIETTA RD, Rochester, NY 14620

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Other Identifiers 1

Medicare PINBB5548NY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE GOLDSTEIN MSN

Nurse Practitioner (Adult Health)