JOANNA FASULO DC PC
NPI 1336418847
Chiropractor in Ronkonkoma, NY

Q: What is Joanna Fasulo Dc PC's NPI number?

The NPI number for Joanna Fasulo Dc PC is 1336418847. It was assigned to this organization in the NPPES registry on December 29, 2011. The provider is doing business as Fasulo Chiropractic.

Q: What is Joanna Fasulo Dc PC's specialty?

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

Active since December 29, 2011

4155 VETERANS MEMORIAL HWY STE 5, RONKONKOMA, NY 11779(516) 509-0725 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 13, 2026, Mar 3, 2026 (2 updates tracked since 2026).

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About Joanna Fasulo Dc Pc NPPES

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

JOANNA FASULO DC PC (NPI 1336418847), doing business as Fasulo Chiropractic, is a healthcare organization registered as a chiropractor in Ronkonkoma, New York and active in the NPI registry since December 2011. The organization maintains a secondary practice location in Sag Harbor and lists Joanna Fasulo, Owner, as its authorized official.

NPPES Registry Identity

NPI1336418847

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameJOANNA FASULO DC PC

Location Address4155 VETERANS MEMORIAL HWY STE 5Ronkonkoma, NY 11779-6063

Mailing Address70 Wildwood Road SagHarbor, NY 11937 · (516) 509-0725

Phone(516) 509-0725

Organization SubpartNo

Authorized OfficialJoanna FasuloOwner · (516) 509-0725

Enumeration DateDecember 29, 2011

Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration

NPPES CertifiedMarch 13, 2026

✔ NPI 1336418847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NY · X006462

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.

4155 VETERANS MEMORIAL HWY STE 5, Ronkonkoma, NY 11779

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Other Names 1

Doing Business AsFasulo Chiropractic

Secondary Practice Location 1

Location 170 Wildwood RdSag Harbor, NY 11963-2105 · Phone (516) 509-0725

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

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