Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Tyler J Russo, DC

Individual provider Chiropractor · NPI 1770052391

Dr. Tyler J Russo, DC is a Chiropractic in Freehold, New Jersey. Graduated from Life Chiropractic College in 2018, 8 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
8
Trained at
Life Chiropractic College
Licensed in
NJ
In the registry since
2018
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

222 S St
Freehold, NJ 07728-2619
Phone: (732) 409-6777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 38MC00756900 (NJ)

Record details

NPI number1770052391
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedNovember 14, 2018
Last updated in NPPESJuly 16, 2025
Certification dateJuly 16, 2025
Mailing address222 South St, Freehold, NJ 07728-2619

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolLIFE CHIROPRACTIC COLLEGE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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