Active NPI
Michael Scott Russo, DC
- Chiropractor
- Rockville Centre, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X006933
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 322612 | Other | NY | ACN GROUP ID# |
| 0002357 | Other | NY | SELECT PRO ID# |
| 5303872 | Other | NY | GHI / ALIGNIS ID# |
| P744425 | Other | NY | OXFORD ID # |
| 1C9303 | Other | NY | HEALTHNET ID# |
| NY06933 | Other | NY | LANDMARK HC ID# |
| 1295243 | Other | NY | UNITED HEALTHCARE ID# |
| 63503 | Other | NY | VYTRA ID# |
| 5597187 | Other | NY | AETNA ID # |
| P62591639 | Other | NY | MULTIPLAN ID# |
| CO6933-8 | Other | NY | NYS WORK COMP # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 006933 | NY | MD | Mental Health Counselor |
| X006933 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wendy and Michael Russo Chiropractors, PC | Chiropractor | Current | 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.
-
dba North Park Chiropractic Center
- Chiropractor
- Rockville Centre, NY
- NPI 1922037167
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.