Active Release & Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ACTIVE RELEASE & CHIROPRACTIC CENTER LLC

Practice address

3350 Hwy 138 Ste 227
Wall Township, NJ 07719-9694

Phone

(732) 280-1800

Fax

(732) 280-2323

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Anthony A Criscuolo, DC

Title

Ao / Provider / Owner

Phone

(732) 280-1800

Specialties & licenses 1

Addresses

Other names 1

• Dr. Anthony A. Criscuolo Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

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

• Justin Culici, D.C.

  • Chiropractor
  • Needham, MA
  • NPI 1144689324

  NJ

  Medicare reassignment NPD
• Anthony J. Criscuolo, D.C.

  • Sports Physician Chiropractor
  • Heath, TX
  • NPI 1801965363
  NPD
• Elizabeth N Perez, D.C.

  • Chiropractor
  • Colts Neck, NJ
  • NPI 1447303383
  NPD (past)

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1417575150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 HWY 138 STE 227",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199694",
            "telephone_number": "732-280-1800",
            "fax_number": "732-280-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 HWY 138 STE 227",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199694",
            "telephone_number": "732-280-1800",
            "fax_number": "732-280-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE RELEASE & CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "CRISCUOLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AO / PROVIDER / OWNER",
        "authorized_official_telephone_number": "732-280-1800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Anthony A. Criscuolo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2020; 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.