Active NPI
Maria Crincoli, DC
- Chiropractor
- Millburn, NJ
National Provider Identifier
1104925684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 3168
- Practice address
- 258 Millburn Ave
Millburn, NJ 07041-1710 - Phone
- (973) 376-2888
- Fax
- (973) 376-3939
- NPI assigned
- Sep 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3168 | NJ | Primary |
Addresses
Primary practice location
258 Millburn Ave
Millburn, NJ 07041-1710
Mailing address
258 Millburn Ave
Millburn, NJ 07041-1710
Phone (973) 376-2888
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3168 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1104925684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "258 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411710",
"telephone_number": "973-376-2888",
"fax_number": "973-376-3939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 MILLBURN AVE",
"city": "MILLBURN",
"state": "NJ",
"postal_code": "070411710",
"telephone_number": "973-376-2888",
"fax_number": "973-376-3939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRINCOLI",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "3168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millburn, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.