Individual provider Active NPI

Christina Pisanello, DC, L.AC

  • Acupuncturist
  • Aberdeen, NJ
National Provider Identifier
1336580232
Registry record updated Jul 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
25MZ000133500 Issued in NJ
Practice address
1212 Route 34 Ste 27
Aberdeen, NJ 07747-1903
Phone
(615) 410-8307
NPI assigned
Jul 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00754300 NJ
Acupuncturist 171100000X 25MZ000133500 NJ Primary

Addresses

Primary practice location

1212 Route 34 Ste 27
Aberdeen, NJ 07747-1903

Mailing address

9 Sweet Briar LN
Holmdel, NJ 07733-2111
Phone (615) 410-8307

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180816001215 NJ Practitioner - Chiropractic 1254680754 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00754300NJMDChiropractor
25MZ000133500NJMDAcupuncturist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1336580232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SWEET BRIAR LN",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077332111",
            "telephone_number": "615-410-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 ROUTE 34 STE 27",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077471903",
            "telephone_number": "615-410-8307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANELLO",
        "first_name": "CHRISTINA",
        "name_prefix": "Dr.",
        "credential": "DC, L.AC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-09",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00754300",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ000133500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.