Individual provider Active NPI

Pasquale Pucciarelli, DC

  • Chiropractor
  • Cranford, NJ
National Provider Identifier
1003845157
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00475900 Issued in NJ
Practice address
25 Commerce Dr
Cranford, NJ 07016-3605
Phone
(904) 474-9444
Fax
(908) 474-9440
NPI assigned
Jul 1, 2006
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00475900 NJ Primary

Addresses

Primary practice location

25 Commerce Dr
Cranford, NJ 07016-3605

Mailing address

10 N Wood Ave
Suite E
Linden, NJ 07036-5200
Phone (904) 474-9444

Other identifiers 1

IdentifierTypeStateIssuer
223629969OtherNJTAX IDENTIFICATION NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00475900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Institute for Spine and Joint Pain, P.C. CurrentSince Jun 15, 2025 Accepting new patients
NJ Institute for Pain Relief Chiropractor Current Accepting new patients
Nervana Neuromonitoring LLC Current Accepting new patients
Doctors Care, P.C. Chiropractor Past Accepting new patients

Locations

25 Commerce Dr
Cranford, NJ 07016
Phone (908) 905-3444

901 N Wood Ave
Linden, NJ 07036
Phone (908) 925-2422

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1003845157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N WOOD AVE",
            "address_2": "SUITE E",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070365200",
            "telephone_number": "904-474-9444",
            "fax_number": "908-474-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COMMERCE DR",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070163605",
            "telephone_number": "904-474-9444",
            "fax_number": "908-474-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCCIARELLI",
        "first_name": "PASQUALE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00475900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION NUMBER",
            "identifier": "223629969",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.