DR. RANDOLPH JOSEPH RUSSO (NPI# 1073697637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073697637 |
| Entity Type | Individual |
| Full Name | DR. RANDOLPH JOSEPH RUSSO |
| Credential | DC |
| Practice Address |
16 Squadron Blvd Ste 102 New City NY 10956-5268 |
| Practice Telephone | 8456342225 |
| Practice Fax Number | 8456342227 |
| Mailing Telephone | 8456342225 |
| Mailing Fax Number | 8456342227 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2017-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X008265-1 | NY | Chiropractic Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306833470 | Randolph B Russo | Physical Medicine & Rehabilitation | 1111 Leffingwell Ave Ne, Grand Rapids, MI 49525-6406 | 2005-10-04 |
| Street Address |
16 SQUADRON BLVD STE 102 |
| City | NEW CITY |
| State | NY |
| Zip Code | 10956-5268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215547880 | Maahwush Zahidi | Acupuncturist | 16 Squadron Blvd, New City, NY 10956-5259 | 2020-08-07 |
| 1093330649 | C Lefevre Medical PC | General Practice | 16 Squadron Blvd, New City, NY 10956-5259 | 2020-06-10 |
| 1316581044 | Eric A Johnson | Physical Therapist | 16 Squadron Blvd, New City, NY 10956-5259 | 2019-11-06 |
| 1952860645 | East Meets West Acupuncture Pllc | Clinic/Center | 16 Squadron Blvd, New City, NY 10956-5259 | 2019-03-13 |
| 1477749703 | Fern E Cytryn | Dentist | 16 Squadron Blvd, Suite 101, New City, NY 10956-5259 | 2007-09-20 |
| 1891981155 | Pediatric and Adolescent Dentistry of Rockland County, P.C. | Dentist | 16 Squadron Blvd, Suite 101, New City, NY 10956-5259 | 2007-09-20 |
| 1174664312 | Michael Rothstein | Dentist | 16 Squadron Blvd, Suite #105, New City, NY 10956-5259 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659703 | Shadae Keilia Kleckley | Technician | 19 Dixwell Road, New City, NY 10956 | 2019-10-03 |
| 1326518911 | Jenna Marie Rogoff | Occupational Therapy Assistant | 254 S Main Street Suite 400, New City, NY 10956 | 2018-11-27 |
| 1326515065 | Dynamic Dental Arts of Rockland Pllc | Dentist | 345 North Main St. Ste. 5, New City, NY 10956 | 2018-10-31 |
| 1760981062 | Alyssa Rothschild Taxin | Nutritionist | 18 Snowdrop Drive, New City, NY 10956 | 2018-02-02 |
| 1245738103 | Martin A Petersel | Counselor | 3 Rexal Court, New City, NY 10956 | 2018-01-25 |
| 1831601475 | Carissa Aurellano | Occupational Therapist | 873 Rte 45 Ste 102, New City, NY 10956 | 2017-11-03 |
| 1376064055 | Evelyn Ringel | Specialist | 14 Concord Drive, New City, New City, NY 10956 | 2017-07-03 |
| 1720517089 | Orlee Elizabeth Krass | Specialist | 2, Woodland Road, New City, NY 10956 | 2017-06-08 |
| 1639617293 | Ann Damiani Orlando | Registered Nurse | 32 Twin Elms Lane, New City, NY 10956 | 2017-02-03 |
| 1225496300 | Timber Counseling Corp. | Community/Behavioral Health | 115 North Main Street, New City, NY 10956 | 2016-02-04 |
| Find all providers in zip 10956 | ||||
| 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 |
|---|---|---|---|---|
| 1679071831 | Alyssa Gabrielle Bachner | Chiropractor | 18 Sandusky Rd, New City, NY 10956-6917 | 2018-01-23 |
| 1700330354 | Chiropractic Health, P.C. | Chiropractor | 16 Squadron Blvd Ste 102, New City, NY 10956-5268 | 2016-08-12 |
| 1215207287 | Gilbert Antonio Rodriguez | Chiropractor | 20 Squadron Blvd Ste 580, New City, NY 10956-5272 | 2012-01-09 |
| 1932360989 | Robert Anthony Staropoli Sr. | Chiropractor | 6 Broward Dr, New City, NY 10956-2702 | 2008-06-23 |
| 1285840173 | William R. Kadan | Chiropractor | 278 Phillips Hill Rd, New City, NY 10956-2017 | 2007-05-15 |
| 1437272838 | Robert Michael Gregory | Chiropractor | 2 Clearview Rd, New City, NY 10956-2813 | 2007-04-09 |
| 1285767954 | Raymond G. Joseph | Chiropractor | 5 Gail Dr, New City, NY 10956-3605 | 2007-03-13 |
| 1568505873 | Lance A Johnson | Chiropractor | 224 N Main Street, New City, NY 10956 | 2007-02-15 |
| 1629130265 | Randy Weiner | Chiropractor | 493 Route 304, New City, NY 10956 | 2006-12-13 |
| 1437228327 | Decarlo Chiropractic,pc | Chiropractor | 29 Third St, New City, NY 10956-4929 | 2006-11-07 |
| Find all providers in NEW CITY | ||||
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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.