Christopher Russo, D.C.
Individual provider Active NPI Chiropractor · Farmingdale, NJ
NPI 1427433440 · NPPES record last updated Feb 5, 2016
Key facts
- NPI
- 1427433440
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00726800 (NJ)
- Practice address
- 19 Main St
Farmingdale, NJ 07727-1218 - Phone
- (908) 216-7094
- NPI assigned
- Jul 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
58 Main St
Suite B
Farmingdale, NJ 07727-1332
Phone (908) 216-7094
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160727001005 | NJ | Practitioner - Chiropractic | 5496048589 | Practice locations: Farmingdale, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00726800 | NJ | MD | Chiropractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00726800 | NJ | Yes |
Addresses
Primary practice location
19 Main St
Farmingdale, NJ 07727-1218
Mailing address
19 Main St
Farmingdale, NJ 07727-1332
Phone (908) 216-7094
Other providers in Farmingdale, NJ
- Mohammad Harun Rashid
- Collisha Reid
- Alyssa Rescinio
- Flo B Roth
- Ruben Singh MD LLC
- Sage Therapy Center
- Davinder Sahi
- Samrock Stables LLC
- Joseph William Schauer III
- Schwarz Rehab Equipment Inc
All providers in Farmingdale, NJ · Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.