Roger A Russo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X002602-1 Issued in NY

Practice address

285 N Route 303
Suite 2
Congers, NY 10920-1413

Phone

(845) 268-5122

Fax

(845) 268-5123

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• SFS Congers Inc

  • Chiropractor
  • Congers, NY
  • NPI 1114227071
  NPD (past) Authorized official
• Robert S. Kim Acupuncture Wellness Care P.C.

  • Acupuncturist
  • Bardonia, NY
  • NPI 1720811482
  NPD (past)

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609946987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 N ROUTE 303",
            "address_2": "SUITE 2",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201413",
            "telephone_number": "845-268-5122",
            "fax_number": "845-268-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 N ROUTE 303",
            "address_2": "SUITE 2",
            "city": "CONGERS",
            "state": "NY",
            "postal_code": "109201413",
            "telephone_number": "845-268-5122",
            "fax_number": "845-268-5123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "ROGER",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X002602-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Leigh Robertson-Velez, COTA
• Rockland County Chapter Nysarc
• Rockland County Chapter Nysarc
• Rockland County Chapter Nysarc Inc
• John Redmond Rooney Jr., PSY.D.
• Danielle Sablich
• Wanda Santiago-Huertas, ABD
• Jill Sarvaideo, FNP-BC
• Sas Healthtech LLC
• Gillian Hannah Schonenberg

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.