Active NPI
Arnold Criscitiello, M.D.
- Orthopaedic Surgery of the Spine Physician
- Ridgewood, NJ
National Provider Identifier
1245233634
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery of the Spine Physician
- License
- 25MA05971000
- Practice address
- 85 S Maple Ave
Ridgewood, NJ 07450 - Phone
- (201) 445-2830
- Fax
- (201) 445-7471
- NPI assigned
- May 31, 2005
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 25MA05971000 | NJ | |
| Orthopaedic Surgery of the Spine Physician | 207XS0117X | 25MA05971000 | NJ | Primary |
Addresses
Primary practice location
85 S Maple Ave
Ridgewood, NJ 07450
Mailing address
85 S Maple Ave
Ridgewood, NJ 07450-4561
Phone (201) 445-2830
Other practice location 1
85 S Maple Ave
Ridgewood, NJ 07450-4561
Phone (201) 445-2830
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200040496 | Other | NJ | RR MDCR# |
| 80P901 | Other | NJ | BC/BS OF NY ID # |
| 2448223 | Other | NJ | AETNA HMO ID # |
| P2164406 | Other | NJ | OXFORD ID # |
| 5973528 | Other | NJ | AETNA PPO ID # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA05971000 | NJ | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthonj LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthonj LLC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
2315 Route 34
Manasquan, NJ 08736
Phone (732) 974-0404
5 Plainsboro Rd
Ste 100
Plainsboro, NJ 08536
Phone (609) 750-1600
85 S Maple Ave
Ridgewood, NJ 07450
Phone (201) 445-2830
Interoperability endpoints
- acriscitiello@rogortho.gwaydirect.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Somerset, NJ
- NPI 1720557432
-
- Durable Medical Equipment & Medical Supplies
- Galloway, NJ
- NPI 1487448312
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1245233634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 S MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074504561",
"telephone_number": "201-445-2830",
"fax_number": "201-445-7471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 S MAPLE AVE",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "07450",
"telephone_number": "201-445-2830",
"fax_number": "201-445-7471"
}
],
"practiceLocations": [
{
"address_1": "85 S Maple Ave",
"address_purpose": "LOCATION",
"city": "Ridgewood",
"state": "NJ",
"postal_code": "074504561",
"country_code": "US",
"telephone_number": "201-445-2830",
"fax_number": "201-445-7471",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CRISCITIELLO",
"first_name": "ARNOLD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "25MA05971000",
"primary": false
},
{
"code": "207XS0117X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
"state": "NJ",
"license": "25MA05971000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MDCR#",
"identifier": "200040496",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS OF NY ID #",
"identifier": "80P901",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO ID #",
"identifier": "2448223",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD ID #",
"identifier": "P2164406",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO ID #",
"identifier": "5973528",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.