Individual provider Active NPI

Michael Scott Russo, DC

  • Chiropractor
  • Rockville Centre, NY
National Provider Identifier
1164465571
Registry record updated Aug 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006933 Issued in NY
Practice address
100 N Centre Ave
Suite 202
Rockville Centre, NY 11570-3937
Phone
(516) 763-2600
Fax
(516) 763-4218
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X006933 NY Primary

Addresses

Primary practice location

100 N Centre Ave
Suite 202
Rockville Centre, NY 11570-3937

Mailing address

100 N Centre Ave
Suite 202
Rockville Centre, NY 11570-3937
Phone (516) 763-2600

Other identifiers 11

IdentifierTypeStateIssuer
322612OtherNYACN GROUP ID#
0002357OtherNYSELECT PRO ID#
5303872OtherNYGHI / ALIGNIS ID#
P744425OtherNYOXFORD ID #
1C9303OtherNYHEALTHNET ID#
NY06933OtherNYLANDMARK HC ID#
1295243OtherNYUNITED HEALTHCARE ID#
63503OtherNYVYTRA ID#
5597187OtherNYAETNA ID #
P62591639OtherNYMULTIPLAN ID#
CO6933-8OtherNYNYS WORK COMP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060907000417 NY Practitioner - Chiropractic 9638173511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wendy and Michael Russo Chiropractors, PCGroup PAC ID 0648274522, 2 clinicians

Practice addresses (Care Compare)

100 N Centre Ave
Suite 202
Rockville Centre, NY 11570-6301
Phone (516) 763-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006933NYMDMental Health Counselor
X006933NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy and Michael Russo Chiropractors, PC Chiropractor CurrentSince Jun 14, 2006 Accepting new patients

Locations

85 N Park Ave
Rockville Centre, NY 11570
Phone (516) 763-2600

100 N Centre Ave
Ste 202
Rockville Ctr, NY 11570
Phone (516) 665-1939

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785542400000",
    "number": "1164465571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CENTRE AVE",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703937",
            "telephone_number": "516-763-2600",
            "fax_number": "516-763-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CENTRE AVE",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703937",
            "telephone_number": "516-763-2600",
            "fax_number": "516-763-4218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-08-01",
        "certification_date": "2026-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACN GROUP ID#",
            "identifier": "322612",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT PRO ID#",
            "identifier": "0002357",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI / ALIGNIS ID#",
            "identifier": "5303872",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD ID #",
            "identifier": "P744425",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET ID#",
            "identifier": "1C9303",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK HC ID#",
            "identifier": "NY06933",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE ID#",
            "identifier": "1295243",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VYTRA ID#",
            "identifier": "63503",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID #",
            "identifier": "5597187",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN ID#",
            "identifier": "P62591639",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS WORK COMP #",
            "identifier": "CO6933-8",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.