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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
X00003447 | NY | Chiropractic Providers |
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 |
Street Address |
500 PARK BLVD |
City | MASSAPEQUA PARK |
State | NY |
Zip Code | 11762-2742 |
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 |
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 |
Find all providers in zip 11762 |
Taxonomy Code | 111NS0005X |
Grouping | Chiropractic Providers |
Classification | Chiropractor |
Specialization | Sports Physician |
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] |
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 |
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 |
Find all providers with the same taxonomy |
City | MASSAPEQUA PARK |
Zip Code | 11762 |
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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.