Active NPI
Joanna Fasulo, D.C.
- Chiropractor
- Ronkonkoma, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X006462
- Practice address
- 4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063 - Phone
- (516) 509-0725
- NPI assigned
- Aug 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | X006462 | NY | Primary |
Addresses
Primary practice location
4155 Veterans Memorial Hwy Ste 5
Ronkonkoma, NY 11779-6063
Mailing address
70 Wildwood Rd
Sag Harbor, NY 11963-2105
Phone (516) 509-0725
Other practice location 1
70 Wildwood Rd
Sag Harbor, NY 11963-2105
Phone (516) 509-0725
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
- Life Chiropractic College, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
160 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 727-7200
4155 Veterans Memorial Hwy
Suite 5
Ronkonkoma, NY 11779-6063
Phone (516) 509-0725
680 Route 112
Suite C
Patchogue, NY 11772-1344
Phone (631) 289-3939
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X006462 | NY | MD | Chiropractor |
| 006462 | NY | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joanna Fasulo DC PC | Chiropractor | Current | Accepting new patients |
| Link Medical Services PLLC | Current | Accepting new patients | |
| Within Normal Limits Physical Therapy P.C. | Past | Accepting new patients |
Locations
680 Route 112
Ste C
Patchogue, NY 11772
Phone (631) 289-3939
160 Old Country Rd
Riverhead, NY 11901
Phone (631) 531-9400
4155 Veterans Memorial Hwy
Ste 5
Ronkonkoma, NY 11779
Phone (516) 205-6627
Organizations & group practices 3
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.
-
- Chiropractor
- Ronkonkoma, NY
- NPI 1336418847
-
- Specialist
- Riverhead, NY
- NPI 1326716887
-
- Physical Therapy Clinic/Center
- Mineola, NY
- NPI 1508000811
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1710997283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WILDWOOD RD",
"city": "SAG HARBOR",
"state": "NY",
"postal_code": "119632105",
"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": {
"last_name": "FASULO",
"first_name": "JOANNA",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X006462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ronkonkoma, NY
Sources for this page
- 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.
- 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.