Active NPIIndividual providerSole proprietor

Dr. Mark V Russo, DC

Chiropractor in North Caldwell, New Jersey

NPI Number1942448659
Practice location
310 Mountain Ave, North Caldwell, NJ 07006-4013
Fax
—
Last updated
February 3, 2009

Mark Vincent Russo is a Chiropractor based in North Caldwell, NJ. Mark Vincent Russo practices in North Caldwell, NJ and has the professional credentials of DC. The NPI Number for Mark Vincent Russo is 1942448659 and holds a License No. 38MC00235500 (NJ). The current practice location address for Mark Vincent Russo is 310 Mountain Ave, North Caldwell, NJ 07006-4013 and can be reached out via phone at 973-725-4836.

Provider Profile Details

NPI Number
1942448659
Provider Name
Mark Vincent Russo
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
310 Mountain Ave, North Caldwell, NJ 07006-4013
Phone Number
973-725-4836
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
February 3, 2009
Last Update Date
February 3, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
310 Mountain Ave
North Caldwell, NJ 07006-4013
Zip
07006-4013
Phone Number
973-725-4836
North Caldwell, NJ 07006Get directions →

Provider Business Mailing Address Details

Address
310 Mountain Ave
North Caldwell, NJ 07006-4013
City
North Caldwell
State
NJ
Zip
07006-4013
Phone Number
973-725-4836

License Information

License Number
38MC00235500
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. Mark V Russo, DC?

The NPI number of Dr. Mark V Russo, DC is 1942448659. It was assigned on February 3, 2009 and is currently active in the NPPES registry.

What is the specialty of Dr. Mark V Russo, DC?

Dr. Mark V Russo, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00235500.

Where does Dr. Mark V Russo, DC practice?

The practice location is 310 Mountain Ave, North Caldwell, NJ 07006-4013. The office can be reached at 973-725-4836 (phone).

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 1942448659 directly on the NPPES registry website.

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