Antoinette Marie Russolello, PA-C
NPI 1750008207ActiveIndividual· Physician Assistant· North Haven, CT
Physician Assistant (PA-C) with North Shore Lij Urgent Care PC, practicing in North Haven, Connecticut. In 2024 Medicare paid $18,582 for 194 patients, and Part D covered 197 of their prescriptions, 88% of them generic.
Overview
| NPI | 1750008207 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | Yes |
| NPI issued | Oct 25, 2022 |
| Last updated in NPPES | Oct 25, 2022 |
| Certified by provider | Oct 25, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 029069 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 194 |
|---|---|
| Services billed | 390 across 40 procedure codes |
| Paid by Medicare | $18,582 |
Part D prescriptions in 2024
| Prescriptions (claims) | 197 · 198 30-day fills |
|---|---|
| Patients | 151 |
| Total drug cost | $8,223 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- North Shore Lij Urgent Care PCPlainview, NY · 390 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 physician assistants in North Haven · All physician assistants in Connecticut