DR. RANDOLPH JOSEPH RUSSO DC
NPI 1073697637
Chiropractor in New City, NY

Active since October 24, 2006
16 SQUADRON BLVD, STE 102, NEW CITY, NY 10956(845) 634-2225(845) 634-2227 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 25, 2017, Apr 19, 2017 (2 updates tracked since 2017).

About Dr. Randolph Joseph Russo Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RANDOLPH JOSEPH RUSSO DC (NPI 1073697637) is an individual chiropractor in New City, New York, licensed in New York (X008265-1) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1073697637
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. RANDOLPH JOSEPH RUSSOCredential: DC
Location Address16 SQUADRON BLVD, STE 102New City, NY 10956-5268
Mailing Address16 Squadron Blvd, Ste 102New City, NY 10956-5268 · (845) 634-2225 · Fax (845) 634-2227
Fax(845) 634-2227
Sole ProprietorNo
Enumeration DateOctober 24, 2006
Last NPPES UpdateApril 25, 20232 updates tracked since enumeration
NPPES CertifiedApril 25, 2023
NPI 1073697637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in NY · X008265-1
Definition

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.

16 SQUADRON BLVD, New City, NY 10956

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
16 SQUADRON BLVD
NEW CITY, NY 10956
Dentist (Prosthodontics)
16 SQUADRON BLVD, SUITE #105
NEW CITY, NY 10956
Acupuncturist
16 SQUADRON BLVD
NEW CITY, NY 10956
Physical Therapist
16 SQUADRON BLVD
NEW CITY, NY 10956
Acupuncturist
16 SQUADRON BLVD
NEW CITY, NY 10956
Dentist (Pediatric Dentistry)
16 SQUADRON BLVD, SUITE 101
NEW CITY, NY 10956
Anesthesiology (Pain Medicine)
16 SQUADRON BLVD
NEW CITY, NY 10956
Acupuncturist
16 SQUADRON BLVD
NEW CITY, NY 10956

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Russo's NPI number?

The NPI number for Randolph Russo is 1073697637. It was assigned to this individual provider in the NPPES registry on October 24, 2006.

Where is Randolph Russo located?

Randolph Russo practices at 16 Squadron Blvd Ste 102, New City, NY 10956. The listed phone number is (845) 634-2225.

What is Randolph Russo's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Randolph Russo was last updated on April 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.