Randolph Joseph Russo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X008265-1 Issued in NY

Practice address

16 Squadron Blvd
Ste 102
New City, NY 10956-5268

Phone

(845) 634-2225

Fax

(845) 634-2227

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kayal Orthopaedic, PLLC

  • Orthopaedic Surgery Physician
  • Stony Point, NY
  • NPI 1164164455

  Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1073697637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SQUADRON BLVD",
            "address_2": "STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565268",
            "telephone_number": "845-634-2225",
            "fax_number": "845-634-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SQUADRON BLVD",
            "address_2": "STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565268",
            "telephone_number": "845-634-2225",
            "fax_number": "845-634-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "RANDOLPH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008265-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen E Rubinstein, PSYD
• Elise Rudolph, MS, CCC-SLP
• Jeanine M Rufo, LMSW
• Isaac Louis Ruggles Altman
• Alexandra Rusiecki, SLP
• Jessica Leigh Ruszkowski
• Caitlin Alexandra Ryan
• Geraldine Ryan, L.M.H.C.
• Beverly Rymer
• S&K Medical Associates PC

• Chiropractor in New City, NY
• Providers in New City, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.