Leonard Michael Russo, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00400500 Issued in NJ

Practice address

186 Fairfield Rd
Fairfield, NJ 07004-2423

Phone

(973) 227-3338

Fax

(973) 227-0887

NPI assigned

Feb 26, 2007

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 NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IBIEBD

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.

• 186 Fairfield Road LLC

  • Chiropractor
  • Fairfield, NJ
  • NPI 1629271135
  Medicare reassignment NPD
• Manalapan Medical Center PA PC

  • Endocrinology, Diabetes & Metabolism Physician
  • Manalapan, NJ
  • NPI 1821225137
  NPD (past)

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227139200000",
    "number": "1801922851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 JOHN ST",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070041438",
            "telephone_number": "973-224-5755",
            "fax_number": "973-227-0887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 FAIRFIELD RD",
            "city": "FAIRFIELD",
            "state": "NJ",
            "postal_code": "070042423",
            "telephone_number": "973-227-3338",
            "fax_number": "973-227-0887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSO",
        "first_name": "LEONARD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2008-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00400500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karissa Marie Roberts
• Aleah Eve Rosner
• Tracey Shaniece Ross, LCSW, LCADC
• Christa A. Rossi, OTR/L
• Michael Rouskas, DC
• Joseph Dominick Salamone, DC
• Joseph Palmer Salamone, DC
• Francesco Salemi
• Michael Santino Sapienza, D.C.
• Victoria Sauser

• Chiropractor in Fairfield, NJ
• Providers in Fairfield, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2008; 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.