Active NPIIndividual providerSole proprietor

Dr. Leonard M Russo, DC

Chiropractor in Fairfield, New Jersey

NPI Number1801922851
Practice location
186 Fairfield RD, Fairfield, NJ 07004-2423
Fax
973-227-0887
Last updated
November 20, 2008

Leonard Michael Russo is a Chiropractor based in Fairfield, NJ. Leonard Michael Russo practices in Fairfield, NJ and has the professional credentials of DC. The NPI Number for Leonard Michael Russo is 1801922851 and holds a License No. 38MC00400500 (NJ). The current practice location address for Leonard Michael Russo is 186 Fairfield RD, Fairfield, NJ 07004-2423 and can be reached out via phone at 973-227-3338 and via fax at 973-227-0887.

Provider Profile Details

NPI Number
1801922851
Provider Name
Leonard Michael Russo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
186 Fairfield RD, Fairfield, NJ 07004-2423
Phone Number
973-227-3338
Fax Number
973-227-0887
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 26, 2007
Last Update Date
November 20, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 Fairfield RD
Fairfield, NJ 07004-2423
Zip
07004-2423
Phone Number
973-227-3338
Fax Number
973-227-0887
Fairfield, NJ 07004Get directions →

Provider Business Mailing Address Details

Address
39 John St
Fairfield, NJ 07004-1438
City
Fairfield
State
NJ
Zip
07004-1438
Phone Number
973-224-5755
Fax Number
973-227-0887

License Information

License Number
38MC00400500
License State
NJ
Taxonomy
Chiropractor · 111N00000X · 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. Leonard M Russo, DC?

The NPI number of Dr. Leonard M Russo, DC is 1801922851. It was assigned on February 26, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Leonard M Russo, DC?

Dr. Leonard M Russo, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00400500.

Where does Dr. Leonard M Russo, DC practice?

The practice location is 186 Fairfield RD, Fairfield, NJ 07004-2423. The office can be reached at 973-227-3338 (phone) or 973-227-0887 (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 1801922851 directly on the NPPES registry website.

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