| 186 Fairfield Road Llc | |
|
186 Fairfield Rd, Fairfield, NJ 07004-2423 | |
| (973) 227-3388 | |
| (973) 227-0887 |
| Full Name | 186 Fairfield Road Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 186 Fairfield Rd, Fairfield, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629271135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 4005 (New Jersey) | Primary |
| Provider Name | Leonard M Russo |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1801922851 PECOS PAC ID: 5294765129 Enrollment ID: I20050819000385 |
| Mailing Address | Practice Location Address |
|---|---|
| 186 Fairfield Road Llc 39 John St, Fairfield, NJ 07004-1438 Ph: (973) 227-3388 | 186 Fairfield Road Llc 186 Fairfield Rd, Fairfield, NJ 07004-2423 Ph: (973) 227-3388 |
Mobile Sports Chiropractic, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 149 Horseneck Rd, Fairfield, NJ 07004 Phone: 973-851-9188 | |
Dr. Salvatore E Senatore, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 86 Plymouth St, Fairfield, NJ 07004 Phone: 973-227-7105 Fax: 973-882-8950 | |
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Dr. Michael Santino Sapienza, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 333a Route 46 West, Suite 135, Fairfield, NJ 07004 Phone: 973-943-4300 Fax: 973-227-3335 | |
Jps Health Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 22 Carlos Dr, Fairfield, NJ 07004 Phone: 973-227-3456 Fax: 973-808-9656 | |
Dr. Douglas A. Torrisi, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 124 Little Falls Rd, Ste 1, Fairfield, NJ 07004 Phone: 973-882-3311 Fax: 973-882-3341 | |
High Crest Integrative Medicine, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 50 Fairfield Rd, Fairfield, NJ 07004 Phone: 973-808-5550 Fax: 973-808-5999 |