Organization Active NPI

Russo Chiropractic,P.C.

  • Chiropractor
  • Oakdale, NY
National Provider Identifier
1003115908
Registry record updated Mar 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RUSSO CHIROPRACTIC,P.C.
Practice address
1300 Montauk Hwy
Oakdale, NY 11769-1339
Phone
(631) 567-4437
Fax
(631) 567-3018
NPI assigned
Mar 18, 2011
Last updated
Mar 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
John F. Russo, D.C.
Title
Chiropractor
Phone
(631) 567-4437

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1300 Montauk Hwy
Oakdale, NY 11769-1339

Mailing address

1300 Montauk Hwy
Oakdale, NY 11769-1339
Phone (631) 567-4437

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300406400000",
    "number": "1003115908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691339",
            "telephone_number": "631-567-4437",
            "fax_number": "631-567-3018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 MONTAUK HWY",
            "city": "OAKDALE",
            "state": "NY",
            "postal_code": "117691339",
            "telephone_number": "631-567-4437",
            "fax_number": "631-567-3018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSO CHIROPRACTIC,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2011-03-18",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "631-567-4437",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.