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DR. TYLER J RUSSO DC
NPI 1770052391
Chiropractor in Freehold, NJ

Active since November 14, 2018
222 SOUTH ST, FREEHOLD, NJ 07728(732) 409-6777 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 22, 2024, Nov 14, 2018 (2 updates tracked since 2018).

About Dr. Tyler J Russo Dc NPPES

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

DR. TYLER J RUSSO DC (NPI 1770052391) is an individual chiropractor in Freehold, New Jersey, licensed in New Jersey (38MC00756900) and active in the NPI registry since November 2018. He is a graduate of Life Chiropractic College (2018).

NPPES Registry Identity

NPI1770052391
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. TYLER J RUSSOCredential: DC
Location Address222 SOUTH STFreehold, NJ 07728-2619
Mailing Address222 South StFreehold, NJ 07728-2619
Phone(732) 409-6777
Sole ProprietorYes
Medical School CMSLife Chiropractic CollegeGraduated 2018
Enumeration DateNovember 14, 2018
Last NPPES UpdateJuly 16, 20252 updates tracked since enumeration
NPPES CertifiedJuly 16, 2025
✔ NPI 1770052391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00756900
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.
222 SOUTH ST, Freehold, NJ 07728
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tyler J Russo Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42643348
PECOS Enrollment IDI20191127000033

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, 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.
610 services36 patients
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.
210 services24 patients

Other Providers at the Same Location NPPES 6

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

KIRAN M MEDASANI M.D
Internal Medicine
222 SOUTH ST
FREEHOLD, NJ 07728
Monmouth County (732) 387-7795
MICHELLE MARIE PASCRELL
Occupational Therapist
222 SOUTH ST
FREEHOLD, NJ 07728
Monmouth County (732) 409-6777
WAYNE A MUCK, O.D.
Durable Medical Equipment & Medical Supplies
222 SOUTH ST
FREEHOLD, NJ 07728
Monmouth County (732) 462-0177
NUSMILEFAMILYDENTISTRY,LLC
Dentist
222 SOUTH ST
FREEHOLD, NJ 07728
Monmouth County (732) 462-0050
RIDGE ROAD PHYSICIANS LLC
Internal Medicine
222 SOUTH ST
FREEHOLD, NJ 07728
Monmouth County (732) 387-7795
FREEHOLD HEALTH AND WELLNESS LLC
Chiropractor
222 SOUTH ST
FREEHOLD, NJ 07728
Monmouth County (732) 409-6777

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 Tyler Russo's NPI number?

The NPI number for Tyler Russo is 1770052391. It was assigned to this individual provider in the NPPES registry on November 14, 2018.

Where is Tyler Russo located?

Tyler Russo practices at 222 South St, Freehold, NJ 07728. The listed phone number is (732) 409-6777.

What is Tyler Russo's specialty?

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

Is Tyler Russo enrolled in Medicare?

Yes. Tyler Russo is registered in the Medicare PECOS enrollment system.

What insurance does Tyler Russo accept?

Health plans from Providence Health Plan list Tyler Russo 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 Tyler Russo was last updated on July 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.