DR. MICHAEL SCOTT RUSSO (NPI# 1164465571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164465571 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL SCOTT RUSSO |
| Credential | DC |
| Practice Address |
100 N Centre Ave Suite 202 Rockville Centre NY 11570-3937 |
| Practice Telephone | 5167632600 |
| Practice Fax Number | 5167634218 |
| Mailing Telephone | 5167632600 |
| Mailing Fax Number | 5167634218 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2010-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X006933 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | VYTRA ID# | 63503 | 01 |
| NY | AETNA ID # | 5597187 | 01 |
| NY | LANDMARK HC ID# | NY06933 | 01 |
| NY | SELECT PRO ID# | 0002357 | 01 |
| NY | HEALTHNET ID# | 1C9303 | 01 |
| NY | GHI / ALIGNIS ID# | 5303872 | 01 |
| NY | NYS WORK COMP # | CO6933-8 | 01 |
| NY | ACN GROUP ID# | 322612 | 01 |
| NY | MULTIPLAN ID# | P62591639 | 01 |
| NY | UNITED HEALTHCARE ID# | 1295243 | 01 |
| NY | OXFORD ID # | P744425 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205463486 | Michael Russo | Physical Therapist | 29800 Bainbridge Rd # So40, Solon, OH 44139-2202 | 2020-03-26 |
| 1982251427 | Michael Russo | Counselor | 17042 Puntledge Dr, Westfield, IN 46062-6521 | 2019-08-20 |
| 1699947242 | Michael James Russo | Social Worker | 19 Maidstone Ln, Hampton Bays, NY 11946-1670 | 2008-03-24 |
| 1700084381 | Michael Anthony Russo | Surgery | 1811 Brookfurst St #5600, Fountain Valley, CA 92708-6728 | 2007-07-05 |
| 1801824362 | Michael Russo | Chiropractor | 12362 Euclid St, Garden Grove, CA 92840-3308 | 2006-06-30 |
| 1619948973 | Michael S. Russo | Physical Therapist | 10 Church Towers, Hoboken, NJ 07030 | 2006-01-26 |
| 1477523785 | Michael B Russo | Psychiatry & Neurology | 250 Ward Ave Ste 170, Honolulu, HI 96814-4014 | 2006-01-26 |
| 1558822510 | Michael Jonathan Russo | Student in an Organized Health Care Education/Training Program | 836 W Wellington Ave, Chicago, IL 60657-5147 | 2019-03-30 |
| 1245720523 | Michael Joseph Russo | Emergency Medicine | 1501 N Campbell Ave, Tucson, AZ 85724-0001 | 2018-05-13 |
| 1508214065 | Michael Russo | Anesthesiology | 3700 Kolbe Rd, Lorain, OH 44053-1611 | 2016-05-25 |
| Street Address |
100 N CENTRE AVE SUITE 202 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-3937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649601972 | Long Island Dental Care Pllc | Dentist | 100 N Centre Ave, Suite #402, Rockville Centre, NY 11570-3937 | 2013-12-12 |
| 1003243841 | Michael J Rechter, Dds PC | Dentist | 100 N Centre Ave, Suite #402, Rockville Centre, NY 11570-3937 | 2013-10-10 |
| 1518261213 | Kathleen Mary Preziosa | Massage Therapist | 100 N Centre Ave, Suite202, Rockville Centre, NY 11570-3937 | 2011-01-10 |
| 1477564300 | Michael J Rechter | Dentist | 100 N Centre Ave, Suite #402, Rockville Centre, NY 11570-3937 | 2006-08-09 |
| 1922037167 | Wendy and Michael Russo Chiropractors, PC | Chiropractor | 100 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3937 | 2006-07-01 |
| 1326075052 | Wendy R Russo | Chiropractor | 100 N Centre Ave, Suite 202, Rockville Centre, NY 11570-3937 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| 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 |
|---|---|---|---|---|
| 1225536899 | Joseph Carranza | Chiropractor | 100 Banks Ave Apt 1323, Rockville Centre, NY 11570-6212 | 2018-01-29 |
| 1043689714 | Jonathan Michael Dcpc | Chiropractor | 55 Maple Ave Ste 306, Rockville Centre, NY 11570-4267 | 2015-09-23 |
| 1932460789 | T.h.c. Chiropractic P.C. | Chiropractor | 1 S Marion Pl, Rockville Centre, NY 11570-5300 | 2012-06-07 |
| 1710176920 | Stanley S. Anderson | Chiropractor | 1010 Sunrise Hwy, Rockville Centre, NY 11570-5100 | 2007-10-24 |
| 1396947016 | Glenn H Whitney, D.c.,p.c. | Chiropractor | 279 Sunrise Hwy, Rockville Centre, NY 11570-4925 | 2007-06-04 |
| 1710191093 | John R. Gehnrich | Chiropractor | 25 S Park Ave, Rockville Centre, NY 11570-5214 | 2007-05-09 |
| 1952522112 | Debora L Gutman | Chiropractor | 320 N.village Ave., Rockville Centre, NY 11570 | 2007-05-02 |
| 1760515944 | Rockville Centre Chiropractic Group PC | Chiropractor | 200 N Village Ave Ste 100, Rockville Centre, NY 11570-2300 | 2007-03-14 |
| 1093883563 | Michael Alan Kolansky | Chiropractor | 200 North Village Avenue, Ste 100 Rockville Centre Chiropractic Gp PC, Rockville Centre, NY 11570 | 2006-12-01 |
| 1508931734 | Rosemarie Cartagine | Chiropractor | 119 No Park Avenue, Ste 201, Rockville Centre, NY 11570 | 2006-11-22 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on DR. MICHAEL SCOTT RUSSO.
| 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.