Rampino earned the nickname "Tony Roach" or simply "Roach" because of his supposed physical resemblance to the
cockroach; the name assumed a double meaning afterward when Rampino started smoking copious amounts of
marijuana. He was involved in
drug trafficking. He became a close friend of
John Gotti,
Angelo Ruggiero,
Nicholas Corozzo, and
Leonard DiMaria. He was a cadaverous looking man with huge hands and long arms that seemed to reach down past his knees, and an odd rubbery-looking face. He liked to contort his face into all kinds of horrible grimaces in front of a mirror. Years of practice allowed him, at a second's notice, to shape his face into something like The Phantom of the Opera. He firmly believed that such faces would frighten any enemy. Rampino's passions were stickball and being a successful thief. Rampino had been troubled with a severe heroin addiction in the 1960s which was well known among his criminal associates, but had successfully kicked the drug habit by 1979. Former friend Sammy Gravano later said, "It was all around amongst us that people with John were heavy, heavy in drugs; personally I don't believe John ever did it himself. But he had to know what was going on. I mean, there's Genie (Gene Gotti), his own brother, Angelo Ruggiero, who he grew up with, the other guys with John Carneglia, Edward Lino, Tony Roach (Anthony who not only had a reputation for drugs but was an ex-junkie." Rampino and Wilfred Johnson served as John Gotti's chief loan collectors for the crew. Rampino was an associate of the
Gambino crime family affiliated with
John Gotti's crew, which was headquartered out of the
Bergin Hunt and Fish Club in
Ozone Park, Queens, but never became a fully
initiated, or
"made" member, of the organization. John Marzulli of the
New York Daily News described Rampino as a "colorful mob character" who was "notable for his skull-like appearance". Another, unnamed, source called him "the scariest man you'd ever tall, lean and he looked like a vampire". Rampino was a backup shooter in the assassination of Gambino crime family boss
Paul Castellano and his underboss
Tommy Bilotti, who were each shot dead by a team of hitmen outside
Sparks Steak House in
Midtown Manhattan on December 16, 1985. According to a source "[Rampino's] job was to kill anyone, civilians or cops, who followed the hit team". The murder of Castellano allowed for Gotti's rise to boss of the Gambino crime family. ==Drug bust and arrest==