Mario A Criscito, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA02510600 Issued in NJ

Practice address

50 Newark Ave
Suite 204
Belleville, NJ 07109-1185

Phone

(973) 450-2158

Fax

(973) 450-2027

NPI assigned

Jul 21, 2005

Last updated

Mar 6, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Cardiology Center of New Jersy LLC

  • Cardiovascular Disease Physician
  • Belleville, NJ
  • NPI 1962698597
  Authorized official Same address or phone
• Ekg Interpretation Group

  • Cardiovascular Disease Physician
  • West Orange, NJ
  • NPI 1447261714
  NPD (past)
• Non-Invasive Lab at St Barnabas

  • Cardiovascular Disease Physician
  • Livingston, NJ
  • NPI 1558418004
  NPD (past)

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1063411957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE",
            "address_2": "SUITE 204",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091185",
            "telephone_number": "973-450-2158",
            "fax_number": "973-450-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEWARK AVE",
            "address_2": "SUITE 204",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071091185",
            "telephone_number": "973-450-2158",
            "fax_number": "973-450-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISCITO",
        "first_name": "MARIO",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA02510600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1458400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Courtney Cozzini, MD
• Liviu Craciun, M.D., PH.D.
• Craig D Gialanella MD LLC
• Vanessa Creighton
• Clarese M Crenshaw, DNP, AGACNP-BC
• Wanda Cruz, DPT
• CSP Psychiatry
• Noelle Bernadette Curran, PT
• Zoe Curry, MD
• John Daconti, DO

• Cardiovascular Disease Physician in Belleville, NJ
• Providers in Belleville, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.