DR. JOSEPH LOUIS RUSSO


Address: 500 Park Blvd, Massapequa Park, NY 11762-2742
Phone: 5167988363

DR. JOSEPH LOUIS RUSSO (NPI# 1053393884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053393884
Entity Type Individual
Full Name DR. JOSEPH LOUIS RUSSO
Credential CHIROPRACTOR
Practice Address 500 Park Blvd
Massapequa Park
NY 11762-2742
Mailing Address 500 Park Blvd
Massapequa Park
NY 11762-3042
Practice Telephone 5167988363
Practice Fax Number 5167988586
Mailing Telephone 5167988363
Mailing Fax Number 5167988586
Enumeration Date 2005-11-17
Last Update Date 2012-10-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111NS0005X Chiropractor
Specialization: Sports Physician
X00003447 NY Chiropractic Providers

Other Providers JOSEPH RUSSO

NPI Name Taxonomy Address Enumeration
1104215441 Joseph Russo Physical Therapist 41w 470 Silvana Dr., Elgin, IL 60124 2015-01-09
1184946477 Joseph Russo I Pharmacist 741 E Little Creek Rd, Norfolk, VA 23518-3709 2010-02-27
1073770194 Joseph Abel Russo Psychiatry & Neurology 177 Post Rd W, 2nd Floor, Westport, CT 06880-4652 2008-05-16
1104032184 Joseph Anthony Russo Dentist 155 Seashore Dr, Jupiter, FL 33477-9687 2007-05-15
1982823753 Joseph E. Russo Physical Therapist 274 1st Ave, 7 D, New York, NY 10009-1809 2007-04-24
1356443030 Joseph A. Russo Chiropractor 1605 Locust Hill Rd, Suite 101, Greer, SC 29651-6075 2006-09-02
1679528921 Joseph Patrick Russo Radiology 95 Highland Ave Ste 130, Bethlehem, PA 18017-9483 2006-05-24
1336121334 Joseph P. Russo Dentist 15 W Water St, Wakefield, MA 01880-2914 2005-11-16
1891791786 Joseph Scott Russo Family Medicine 1300 Johnson St, Elkhart, IN 46514-3406 2005-06-24
1104425974 Joseph Russo Registered Nurse 777 Seaview Ave, Staten Island, NY 10305-3409 2020-10-22

Office Location

Street Address 500 PARK BLVD
City MASSAPEQUA PARK
State NY
Zip Code 11762-2742

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487884334 Donna Madison Massage Therapist 500 Park Blvd, Massapequa Park, NY 11762-3042 2009-07-24
1487737607 Craig Joseph Chamberlain Chiropractor 500 Park Blvd, Massapequa Park, NY 11762-3042 2006-10-23
1295784288 Joseph L Russo Doctor of Chiropractic PC Chiropractor 500 Park Blvd, Massapequa Park, NY 11762-3042 2006-05-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992280374 Rachel Eljashev Ophthalmology 115 Charles Ave, Massapequa Park, NY 11762 2018-10-01
1366937567 Samantha Marie Larosa Social Worker 652 Willoughby Avenue, Bushwick, NY 11762 2018-06-29
1023532447 Hugo H Lopez Counselor 4770 Sunrise Highway, Massapequa Park, NY 11762 2017-07-27
1891155735 Kayla Marie Vanguilder Counselor 208 Grover Ave W, Massapequa Park, NY 11762 2016-03-04
1093191009 Mary Margaret Zeller Case Management 7 Townhouse Dr, Massapequa Park, NY 11762 2015-08-03
1114323250 Kristen Price Occupational Therapist 21 Herbert Ave, Massapequa Park, NY 11762 2014-11-18
1871902296 Suzanna Lynn Diaquoi Registered Nurse 24 Brendan Avenue, Massapequa Park, NY 11762 2014-08-11
1649605338 Stacey Leo Behavioral Analyst 190 S Park Dr, Massapequa Park, NY 11762 2013-09-12
1255685459 Jennifer M Salorio Speech-Language Pathologist 29 Westwood Rd S, Massapequa Park, NY 11762 2012-11-09
1962759803 Erica Lori Brown Specialist 145 Eastgate Road, Massapequa Park, NY 11762 2012-08-09
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Taxonomy Information

Taxonomy Code 111NS0005X
Grouping Chiropractic Providers
Classification Chiropractor
Specialization Sports Physician

Taxonomy Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295784288 Joseph L Russo Doctor of Chiropractic PC Chiropractor 500 Park Blvd, Massapequa Park, NY 11762-3042 2006-05-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1043859150 Brian Lotempio Chiropractor 435 5th Ave Fl 4, New York, NY 10016-2208 2020-01-06
1912462714 Binghamton Chiropractic Pllc Chiropractor 95 Court St Ste G1, Binghamton, NY 13901-3312 2019-02-05
1912415845 Tjb Chiropractic Pllc Chiropractor 10 Hanover Square, New York, NY 10005 2018-01-12
1093249799 Natural Approach Chiropractic, PC Chiropractor 13618 39th Ave Ste 706, Flushing, NY 11354-5583 2017-04-19
1356688691 Dr. Michael Fernandez Chiropractic, P.C. Chiropractor 2543 Route 44 55, Gardiner, NY 12525-5214 2013-01-07
1407105554 Leigh Damkohler, Dc, PC Chiropractor 8 Bacon Pl, Yonkers, NY 10710-1204 2012-09-05
1477859775 Brad Lacroix Chiropractor 287 Fall St, Seneca Falls, NY 13148-1516 2011-02-03
1376849604 Robert James Bencivenga Chiropractor 27 Cedar Swamp Rd, Glen Cove, NY 11542-3728 2011-02-03
1952568792 Mark A Capodanno Chiropractor 6 Wainer Ct, Centerport, NY 11721-1523 2008-05-20
1720275654 Daniel C Minocchi Chiropractor 4545 Transit Rd Ste 640, Williamsville, NY 14221-6012 2007-09-25
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Competitor

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City MASSAPEQUA PARK
Zip Code 11762

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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