Joanna Fasulo DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X006462 Issued in NY

Legal business name

JOANNA FASULO DC PC

Doing business as

Fasulo Chiropractic

Practice address

4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063

Phone

(516) 509-0725

NPI assigned

Dec 29, 2011

Last updated

Mar 13, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joanna Fasulo, DCNPI 1710997283

Title

Owner

Phone

(516) 509-0725

Specialties & licenses 1

Addresses

Other names 1

• Fasulo Chiropractic Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joanna Fasulo, D.C.

  • Chiropractor
  • Ronkonkoma, NY
  • NPI 1710997283
  Medicare reassignment NPD Authorized official
• Zachary Alexander Nowicki, DC

  • Chiropractor
  • East Islip, NY
  • NPI 1922663095
  NPD

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1336418847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 WILDWOOD ROAD  SAG",
            "city": "HARBOR",
            "state": "NY",
            "postal_code": "11937",
            "telephone_number": "516-509-0725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4155 VETERANS MEMORIAL HWY STE 5",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796063",
            "telephone_number": "516-509-0725"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Wildwood Rd",
            "address_purpose": "LOCATION",
            "city": "Sag Harbor",
            "state": "NY",
            "postal_code": "119632105",
            "country_code": "US",
            "telephone_number": "516-509-0725",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOANNA FASULO DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "FASULO",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-509-0725",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fasulo Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Jeffrey Muroff DPM PC
• Kelli Anne Jennings
• John-Paul Carroll LCSW PLLC
• John-Paul Carroll LCSW PLLC
• David Hugo Johnson, NPC
• Erin Jordan
• Anu Joy, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.