John P Russo, DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X003947 Issued in NY

Legal business name

JOHN P RUSSO, DC PC

Doing business as

RUSSO CHIROPRACTICE OFFICE

Practice address

20 Hempstead Ave
Lynbrook, NY 11563-1617

Phone

(516) 599-2593

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Diane L O'Donohue

Title

Office Manager

Phone

(516) 599-2593

Specialties & licenses 1

Addresses

Other names 1

• RUSSO CHIROPRACTICE OFFICE Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J Florio, D.D.S.

  • General Practice Dentistry
  • Lynbrook, NY
  • NPI 1821164195
  NPD (past)
• Nicole Kohner, D.M.D.

  • Student in an Organized Health Care Education/Training Program
  • Lynbrook, NY
  • NPI 1770720047
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196726400000",
    "number": "1831371681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 HEMPSTEAD AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HEMPSTEAD AVE",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115631617",
            "telephone_number": "516-599-2593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P RUSSO, DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A",
        "authorized_official_last_name": "O'DONOHUE",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-599-2593",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X003947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RUSSO CHIROPRACTICE OFFICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Jean, LCSW
• Anisha O Jenkins, LMSW
• Jessica Coyer, PSYD
• Jessica N Madrid Dentistry P.C.
• Jill Feldhun DC PC
• La'Nya Eve Johnson
• Tina Johnson, SPECIAL EDUCATION
• Segolene Jolly
• Carolyn Denise Jones-Weekes, R.N.
• Barbara Ann Jones, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.