DR. BRIAN JAMES DI RUSSA (NPI# 1639243462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639243462 |
| Entity Type | Individual |
| Full Name | DR. BRIAN JAMES DI RUSSA |
| Credential | D.C. |
| Practice Address |
80 Marys Ln Southampton NY 11968-5614 |
| Practice Telephone | 6312837474 |
| Practice Fax Number | 6312837423 |
| Mailing Telephone | 6312837474 |
| Mailing Fax Number | 6312837423 |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2014-01-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | X007686-1 | NY | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | WORKERS COMPENSATION | CO 7686-1 | 01 |
| NY | GHI PROVIDER NUMBER | 5803948 | 01 |
| NY | VYTRA HIP PROVIDER NUMBER | 75723 | 01 |
| Street Address |
80 MARYS LN |
| City | SOUTHAMPTON |
| State | NY |
| Zip Code | 11968-5614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992333553 | Adam Spinner | Student in an Organized Health Care Education/Training Program | Stony Brook Southampton General Surgery, 240 Meeting House Lane, Southampton, NY 11968 | 2020-03-30 |
| 1538725205 | Blossom Counseling Services | Clinic/Center | 225 Old Point Rd, Southampton, NY 11968 | 2019-05-17 |
| 1386184679 | Oscar F. Mandes | Social Worker | 57 Hampton Road, Suite 201, Southampton, NY 11968 | 2017-03-06 |
| 1346780046 | Jacqueline Chantal Rosante | Physician Assistant | Meeting House Lane Medical Practice, PC Surgical Spec., 240, Southampton, NY 11968 | 2017-02-28 |
| 1316377260 | Empire Osteopathy LLC | Neuromusculoskeletal Medicine & OMM | 332a Canoe Place Road, Southampton, NY 11968 | 2013-11-13 |
| 1619225984 | Elizabeth Hope Piselli | Podiatrist | 365 County Road 39a Unit 9, Southampton, NY 11968 | 2012-08-16 |
| 1902164965 | University Hospital At Stony Brook | Clinic/Center | Church Street, Southampton, NY 11968 | 2012-04-27 |
| 1588933170 | Lindsey Dargan | Speech-Language Pathologist | 141 Narrow Lane, Southampton, NY 11968 | 2011-12-28 |
| 1013249069 | Justina Savarese | Speech-Language Pathologist | 168 Hill Street, Southampton, NY 11968 | 2010-02-02 |
| 1164541918 | Maria Radu | Dentist | 39 Inlet Rd East, Southampton, NY 11968 | 2007-03-29 |
| Find all providers in zip 11968 | ||||
| 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 |
|---|---|---|---|---|
| 1639513237 | Back 4 Life Chiropractic | Chiropractor | 44 2nd Street Pike Ste 101, Southampton, PA 18966-3830 | 2013-04-25 |
| 1821395989 | Melissa Lorin Stein | Chiropractor | 347 2nd Street Pike Ste 2, Southampton, PA 18966-3831 | 2011-02-24 |
| 1437312741 | Melinda P Fried | Chiropractor | 15 Freyer Rd, Southampton, MA 01073-9528 | 2008-07-07 |
| 1063688653 | Andrew Taras Halushka | Chiropractor | 347 Second Street Pike, Suite 2, Southampton, PA 18966-3831 | 2008-05-02 |
| 1306964572 | Tami Robinson Herman | Chiropractor | 506 Lakeside Dr., Southampton, PA 18966-4078 | 2007-03-27 |
| 1568504413 | Southampton Chiropractic Center | Chiropractor | 454 Second Street Pike, Southampton, PA 18966 | 2007-02-13 |
| 1124187885 | Susan D. Corwith | Chiropractor | 33 Flying Point Rd Ste 107, Southampton, NY 11968-5275 | 2006-12-08 |
| 1255403291 | Norman J. Bailey, Jr. | Chiropractor | 820 Sycamore Dr, Southampton, PA 18966-4272 | 2006-11-14 |
| 1952316556 | Advanced Back and Neck Care of Lower Bucks County, P.C. | Chiropractor | 347 Second Street Pike Ste 2, Southampton, PA 18966-3831 | 2006-07-30 |
| 1366481087 | Christopher Fiordaliso | Chiropractor | 75 James Way, Southampton, PA 18966-3858 | 2006-06-06 |
| Find all providers in SOUTHAMPTON | ||||
| City | SOUTHAMPTON |
| Zip Code | 11968 |
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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.