Active NPI
Robert Stanley Olivieri, DC
- Orthopedic Chiropractor
- Rio Grande, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- MC03186
- Practice address
- 1501 Route 47
Rio Grande, NJ 08242-1401 - Phone
- (609) 886-8585
- Fax
- (609) 886-8540
- NPI assigned
- Jul 27, 2006
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Chiropractor | 111NN0400X | MC03186 | NJ | |
| Orthopedic Chiropractor | 111NX0800X | MC03186 | NJ | Primary |
Addresses
Primary practice location
1501 Route 47
Rio Grande, NJ 08242-1401
Mailing address
1501 Route 47
Rio Grande, NJ 08242-1401
Phone (609) 886-8585
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0099307000 | Other | NJ | 10-DIGIT HMO ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC03186 | NJ | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Active Health Marlton LLC | Current | Accepting new patients | |
| Active Health Marmora LLC | Current | Accepting new patients | |
| Regenerative Medicine of South Jersey LLC | Current | Accepting new patients | |
| Active Health Northfield LLC | Current | Accepting new patients |
Locations
16 Roosevelt Blvd
Marmora, NJ 08223
Phone (609) 390-0292
1317 Route 73
Ste 101
Mount Laurel, NJ 08054
Phone (609) 886-8039
1612 Tilton Rd
Northfield, NJ 08225
Phone (609) 277-2477
1501 Route 47
Rio Grande, NJ 08242
Phone (609) 224-1576
Organizations & group practices 5
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.
-
dba Active Joint and Spine Institute
- Family Medicine Physician
- Marlton, NJ
- NPI 1265161905
-
dba Active Joint and Spine Institute
- Family Medicine Physician
- Marmora, NJ
- NPI 1629707369
-
dba Active Joint and Spine Institute
- Family Medicine Physician
- Northfield, NJ
- NPI 1992434625
-
dba Active Spine and Joint Institute
- Family Medicine Physician
- Rio Grande, NJ
- NPI 1992342109
-
- Physical Therapist
- Rio Grande, NJ
- NPI 1326179805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1043224090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 ROUTE 47",
"city": "RIO GRANDE",
"state": "NJ",
"postal_code": "082421401",
"telephone_number": "609-886-8585",
"fax_number": "609-886-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 ROUTE 47",
"city": "RIO GRANDE",
"state": "NJ",
"postal_code": "082421401",
"telephone_number": "609-886-8585",
"fax_number": "609-886-8540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVIERI",
"first_name": "ROBERT",
"middle_name": "STANLEY",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111NN0400X",
"taxonomy_group": "",
"desc": "Chiropractor, Neurology",
"state": "NJ",
"license": "MC03186",
"primary": false
},
{
"code": "111NX0800X",
"taxonomy_group": "",
"desc": "Chiropractor, Orthopedic",
"state": "NJ",
"license": "MC03186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "10-DIGIT HMO ID",
"identifier": "0099307000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.