JOANNA FASULO D.C.
NPI 1710997283
Chiropractor in Ronkonkoma, NY

Active since August 08, 2006Accepts Medicare Assignment
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 09, 2026.

Record update history: Mar 13, 2026, Mar 5, 2026 (2 updates tracked since 2026).

About Joanna Fasulo D.c. NPPES

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

JOANNA FASULO D.C. (NPI 1710997283) is an individual chiropractor in Ronkonkoma, New York, licensed in New York (X006462) and active in the NPI registry since August 2006. She maintains a secondary practice location in Sag Harbor and is a graduate of Life Chiropractic College (1990).

NPPES Registry Identity

NPI1710997283
Entity TypeIndividualFemale
Primary Taxonomy111N00000X
Provider Legal NameJOANNA FASULOCredential: D.C.
Location Address4155 VETERANS MEMORIAL HWY STE 5Ronkonkoma, NY 11779-6063
Mailing Address70 Wildwood RdSag Harbor, NY 11963-2105 · (516) 509-0725
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 1990
Enumeration DateAugust 8, 2006
Last NPPES UpdateMarch 13, 20262 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
NPI 1710997283 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

Secondary Practice Location 1

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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Joanna Fasulo D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486828001
PECOS Enrollment IDI20111117000021

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 1-2 spinal regions 98940
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's physical function. In this service, a chiropractor applies controlled force to 1-2 spinal regions. This helps to restore mobility and alleviate discomfort in those areas.
592 services68 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
33 services12 patients

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.

General Practice
4155 VETERANS MEMORIAL HWY STE 5
RONKONKOMA, NY 11779
Massage Therapist
4155 VETERANS MEMORIAL HWY STE 5
RONKONKOMA, NY 11779
Chiropractor
4155 VETERANS MEMORIAL HWY STE 5
RONKONKOMA, NY 11779
Internal Medicine
4155 VETERANS MEMORIAL HWY STE 5
RONKONKOMA, NY 11779
Massage Therapist
4155 VETERANS MEMORIAL HWY STE 5
RONKONKOMA, NY 11779
Nurse Practitioner (Family)
4155 VETERANS MEMORIAL HWY STE 5
RONKONKOMA, NY 11779
Massage Therapist
4155 VETERANS MEMORIAL HWY STE 5
RONKONKOMA, NY 11779
Acupuncturist
4155 VETERANS MEMORIAL HWY STE 5
RONKONKOMA, NY 11779

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's NPI number?

The NPI number for Joanna Fasulo is 1710997283. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Joanna Fasulo located?

Joanna Fasulo practices at 4155 Veterans Memorial Hwy Ste 5, Ronkonkoma, NY 11779. The listed phone number is (516) 509-0725.

What is Joanna Fasulo's specialty?

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

Is Joanna Fasulo enrolled in Medicare?

Yes. Joanna Fasulo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joanna Fasulo accept?

Health plans from Providence Health Plan list Joanna Fasulo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Joanna Fasulo 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 5 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.