Organization Active NPI

Chiropractic Health, P.C.

Doing business as Dr. Randy Russo Chiropractic Health P.C.

  • Chiropractor
  • New City, NY
National Provider Identifier
1700330354
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008265 Issued in NY
Legal business name
CHIROPRACTIC HEALTH, P.C.
Doing business as
Dr. Randy Russo Chiropractic Health P.C.
Practice address
16 Squadron Blvd Ste 102
New City, NY 10956-5268
Phone
(845) 634-2225
Fax
(845) 634-2227
NPI assigned
Aug 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Dr. Randolph J Russo, D.C.
Title
President
Phone
(914) 419-0172

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X008265 NY Primary

Addresses

Primary practice location

16 Squadron Blvd Ste 102
New City, NY 10956-5268

Mailing address

16 Squadron Blvd Ste 102
New City, NY 10956-5268
Phone (845) 634-2225

Other names 1

  • Dr. Randy Russo Chiropractic Health P.C. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1700330354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 SQUADRON BLVD STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565268",
            "telephone_number": "845-634-2225",
            "fax_number": "845-634-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 SQUADRON BLVD STE 102",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109565268",
            "telephone_number": "845-634-2225",
            "fax_number": "845-634-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "RANDOLPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-419-0172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Randy Russo Chiropractic Health P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.