Active NPI
Anthony Larusso, D.C.
- Rehabilitation Chiropractor
- Newark, NJ
National Provider Identifier
1013241520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Chiropractor
- License
- MC 4040
- Practice address
- 500 Mount Prospect Ave
Newark, NJ 07104-2904 - Phone
- (973) 350-0073
- Fax
- (973) 350-0097
- NPI assigned
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Chiropractor | 111NR0400X | MC 4040 | NJ | Primary |
Addresses
Primary practice location
500 Mount Prospect Ave
Newark, NJ 07104-2904
Mailing address
500 Mount Prospect Ave
Newark, NJ 07104-2904
Phone (973) 350-0073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC 4040 | NJ | MD | Rehabilitation Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1013241520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MOUNT PROSPECT AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071042904",
"telephone_number": "973-350-0073",
"fax_number": "973-350-0097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MOUNT PROSPECT AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071042904",
"telephone_number": "973-350-0073",
"fax_number": "973-350-0097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LARUSSO",
"first_name": "ANTHONY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-30",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "111NR0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Rehabilitation",
"state": "NJ",
"license": "MC 4040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.