Active NPI
Richard A. Stiso, D.C.
- Sports Physician Chiropractor
- Florham Park, NJ
National Provider Identifier
1124028139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 38MC00134300
- Practice address
- 81 Ridgedale Ave
Florham Park, NJ 07932-2004 - Phone
- (973) 822-1317
- NPI assigned
- Aug 1, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 38MC00134300 | NJ | Primary |
Addresses
Primary practice location
81 Ridgedale Ave
Florham Park, NJ 07932-2004
Mailing address
81 Ridgedale Ave
Florham Park, NJ 07932-2004
Phone (973) 822-1317
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| X40481 | Other | NJ | WELL CHOICE |
| 5333300 | Medicaid | NJ | |
| 561794 | Other | NJ | AETNA |
| 0885115 | Other | NJ | CIGNA |
| 593175 | Other | NJ | UNITEDHEALTHCARE |
| MC01343 | Other | NJ | LANDMARK |
| P421418 | Other | NJ | OXFORD |
| 0103700000 | Other | NJ | AMERIHEALTH |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00134300 | NJ | MD | Sports Physician Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1124028139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 RIDGEDALE AVE",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322004",
"telephone_number": "973-822-1317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 RIDGEDALE AVE",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322004",
"telephone_number": "973-822-1317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STISO",
"first_name": "RICHARD",
"middle_name": "A.",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-01",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NJ",
"license": "38MC00134300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELL CHOICE",
"identifier": "X40481",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5333300",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "561794",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0885115",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "593175",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LANDMARK",
"identifier": "MC01343",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P421418",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0103700000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.