DR. MARK VINCENT RUSSO (NPI# 1942448659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942448659 |
| Entity Type | Individual |
| Full Name | DR. MARK VINCENT RUSSO |
| Credential | D.C. |
| Practice Address |
310 Mountain Ave North Caldwell NJ 07006-4013 |
| Practice Telephone | 9737254836 |
| Mailing Telephone | 9737254836 |
| Enumeration Date | 2009-02-03 |
| Last Update Date | 2009-02-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00235500 | NJ | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669784419 | Mark Brennan Russo | Home Health | 751 Hebron Pkwy Ste 160, Lewisville, TX 75057-5120 | 2010-07-09 |
| 1619357282 | Mark Russo | Surgery | 3800 Reservoir Rd Nw, Dept of Otolaryngology, Washington, DC 20007-2113 | 2015-06-09 |
| 1083024327 | Mark Russo | Specialist/Technologist | 5823 Widewaters Pkwy, East Syracuse, NY 13057-3081 | 2014-05-07 |
| 1386976827 | Mark Russo | Pharmacist | 437 Electronics Pkwy, Liverpool, NY 13088-6001 | 2010-02-09 |
| 1326289786 | Mark Joseph Russo | Specialist | 201 Lyons Avenue, Newark Beth Israel Medical Center, Newark, NJ 07112 | 2009-03-16 |
| 1588745392 | Mark Russo | Internal Medicine | 301 E Wendover Ave, Ste 412, Greensboro, NC 27401-1230 | 2006-10-18 |
| 1316934326 | Mark Steven Russo | Internal Medicine | 878 109th Ave N, Naples, FL 34108-1821 | 2005-10-04 |
| Street Address |
310 MOUNTAIN AVE |
| City | NORTH CALDWELL |
| State | NJ |
| Zip Code | 07006-4013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| 1083104228 | A Plus Rehab LLC | Physical Medicine & Rehabilitation | 9 Bloomfield Ave, North Caldwell, NJ 07006 | 2018-05-14 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1750820452 | Caldwell University | Behavioral Analyst | 120 Bloombfield Avenue, Caldwell, NJ 07006 | 2017-02-15 |
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1598157638 | Lisa Santeramo | Behavioral Analyst | 309 Westville Avenue, West Caldwell, NJ 07006 | 2015-02-26 |
| 1871832774 | Theodore K Chang | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 | 2013-02-12 |
| 1801132535 | Booyoung Chung | Pharmacist | 560 Passiac Ave Cvs, West Caldwell, NJ 07006 | 2012-12-28 |
| 1750611802 | Christopher Jones, Dds, P.a. | Dentist | 1129 Bloomfield Avenue, West Caldwell, NJ 07006 | 2010-01-12 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| Find all providers in zip 07006 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285658567 | Sean C Mclaughlin | Chiropractor | 133 W Greenbrook Rd, North Caldwell, NJ 07006-4759 | 2006-07-27 |
| 1629083209 | North Caldwell Chiropractic & Therapy, LLC | Chiropractor | 133 W Greenbrook Rd, North Caldwell, NJ 07006-4759 | 2006-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407448 | Michael Saccente | Chiropractor | 700 Campus Dr Ste C, Morganville, NJ 07751-1259 | 2020-11-02 |
| 1598364127 | Edison Chiropractic, LLC | Chiropractor | 1581 Route 27 Unit 4, Edison, NJ 08817-3477 | 2020-10-24 |
| 1316546591 | Salvador Gonzalez Ruiz | Chiropractor | 758 Bloomfield Ave, West Caldwell, NJ 07006-6710 | 2020-10-20 |
| 1427655802 | Leandra L Quinones Santiago | Chiropractor | 691 Mill Creek Rd Ste 5, Manahawkin, NJ 08050-3531 | 2020-10-08 |
| 1306443452 | Alec Michael Shell | Chiropractor | 116 Miln St, Cranford, NJ 07016-2141 | 2020-10-01 |
| 1619583069 | Jordan C Jackson | Chiropractor | 280 Us Highway 9 Ste E, Morganville, NJ 07751-1572 | 2020-09-21 |
| 1932715505 | Elite Spine and Wellness, LLC | Chiropractor | 2864 Rte 27 Ste C, North Brunswick, NJ 08902-5010 | 2020-09-19 |
| 1184239410 | Keith Alan Eisenberger | Chiropractor | 61 Hudson St, Hackensack, NJ 07601-6943 | 2020-09-14 |
| 1932714805 | Edward Vinnikov | Chiropractor | 6 Crosswood Way, Warren, NJ 07059-6785 | 2020-09-09 |
| 1548874605 | Komal Gulab Khattak | Chiropractor | 3b, 186 Princeton Hightstown Rd, #104, West Windsor Township, NJ 08550 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | NORTH CALDWELL |
| Zip Code | 07006 |
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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.