Active NPIIndividual providerSole proprietor

Dr. Anthony Larusso, DC

Chiropractor, Rehabilitation in Newark, New Jersey

NPI Number1013241520
Practice location
500 Mount Prospect Ave, Newark, NJ 07104-2904
Fax
973-350-0097
Last updated
September 30, 2009

Anthony Larusso is a Chiropractor, Rehabilitation based in Newark, NJ. Anthony Larusso practices in Newark, NJ and has the professional credentials of DC. The NPI Number for Anthony Larusso is 1013241520 and holds a License No. MC 4040 (NJ). The current practice location address for Anthony Larusso is 500 Mount Prospect Ave, Newark, NJ 07104-2904 and can be reached out via phone at 973-350-0073 and via fax at 973-350-0097.

Provider Profile Details

NPI Number
1013241520
Provider Name
Anthony Larusso
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
500 Mount Prospect Ave, Newark, NJ 07104-2904
Phone Number
973-350-0073
Fax Number
973-350-0097
Primary Taxonomy
Chiropractor, Rehabilitation · 111NR0400X
Sole Proprietor
Yes
Provider Enumeration Date
September 30, 2009
Last Update Date
September 30, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
500 Mount Prospect Ave
Newark, NJ 07104-2904
City
Newark
Zip
07104-2904
Phone Number
973-350-0073
Fax Number
973-350-0097
Newark, NJ 07104Get directions →

Provider Business Mailing Address Details

Address
500 Mount Prospect Ave
Newark, NJ 07104-2904
City
Newark
State
NJ
Zip
07104-2904
Phone Number
973-350-0073
Fax Number
973-350-0097

License Information

License Number
MC 4040
License State
NJ
Taxonomy
Chiropractor, Rehabilitation · 111NR0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Anthony Larusso, DC?

The NPI number of Dr. Anthony Larusso, DC is 1013241520. It was assigned on September 30, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Anthony Larusso, DC?

Dr. Anthony Larusso, DC is registered under the primary taxonomy Chiropractor, Rehabilitation (code 111NR0400X), licensed in NJ under license number MC 4040.

Where does Dr. Anthony Larusso, DC practice?

The practice location is 500 Mount Prospect Ave, Newark, NJ 07104-2904. The office can be reached at 973-350-0073 (phone) or 973-350-0097 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013241520 directly on the NPPES registry website.

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