JOANNA FASULO DC PC
NPI 1336418847
Chiropractor in Ronkonkoma, NY
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
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Joanna Fasulo Dc Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Joanna Fasulo Dc PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
Where is Joanna Fasulo Dc PC located?
Joanna Fasulo Dc PC is located at 4155 Veterans Memorial Hwy Ste 5, Ronkonkoma, NY 11779. The listed phone number is (516) 509-0725.
What is Joanna Fasulo Dc PC's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Joanna Fasulo Dc PC enrolled in Medicare?
Yes. Joanna Fasulo Dc PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Joanna Fasulo Dc PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Joanna Fasulo Dc PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Joanna Fasulo Dc PC was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Joanna Fasulo Dc Pc · NPI 1336418847
Chiropractor organization in Ronkonkoma, New York. Organization record, active in the CMS NPPES registry since December 29, 2011.
## Identity
- **NPI:** 1336418847 (Entity type: Organization)
- **Enumerated:** December 29, 2011
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **Also known as:** Fasulo Chiropractic (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Joanna Fasulo, OWNER
## Practice location
- **Address:** 4155 VETERANS MEMORIAL HWY STE 5, Ronkonkoma, NY 11779-6063
- **Phone:** (516) 509-0725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Chiropractic) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1336418847) · Data from the CMS NPPES public registry.