Organization Active NPI

Frank R Stiso DC LLC

  • Chiropractor
  • Manasquan, NJ
National Provider Identifier
1144417320
Registry record updated Oct 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC005592 Issued in NJ
Legal business name
FRANK R STISO DC LLC
Practice address
2401 Highway 35
Manasquan, NJ 08736-1101
Phone
(732) 528-7746
Fax
(732) 381-6410
NPI assigned
Oct 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2007

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

Authorized official

Name
Dr. Frank R Stiso, DCNPI 1730131558
Title
Member
Phone
(732) 528-7746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MC005592 NJ Primary

Addresses

Primary practice location

2401 Highway 35
Manasquan, NJ 08736-1101

Mailing address

2401 Highway 35
Manasquan, NJ 08736-1101
Phone (732) 528-7746

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071017000132 NJ Part B Supplier - Clinic/Group Practice 1951497346 Receives reassigned benefits from 1 practitioner
Practice locations: Manasquan, NJ

National Provider Directory

National Provider Directory

Locations

1903 Atlantic Ave
Bldg B
Manasquan, NJ 08736
Phone (732) 528-7746

1903 Atlantic Ave
Manasquan, NJ 08736

2401 Highway 35
Ste 2W
Manasquan, NJ 08736
Phone (732) 528-7746

1903 Atlantic Ave
Ste B
Manasquan, NJ 08736
Phone (732) 528-7746

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191974400000",
    "number": "1144417320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 HIGHWAY 35",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361101",
            "telephone_number": "732-528-7746",
            "fax_number": "732-381-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 HIGHWAY 35",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361101",
            "telephone_number": "732-528-7746",
            "fax_number": "732-381-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANK R STISO DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-10",
        "status": "A",
        "authorized_official_last_name": "STISO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "732-528-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC005592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2007; 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.

Verify at the official NPI Registry.