Livingston Chiropractic and Rehab Inc

Organization Active NPI Chiropractor · Livingston, NJ

NPI 1609348457 · NPPES record last updated Sep 16, 2024

Key facts

NPI
1609348457
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
LIVINGSTON CHIROPRACTIC AND REHAB INC
Practice address
65 E Northfield Rd Ste F
Livingston, NJ 07039-4525
Phone
(973) 597-9766
Fax
(973) 597-9768
NPI assigned
Dec 18, 2018
Organization subpart
No

Authorized official

Name
Dr. Ralph Santonastaso, DC
Title
Chiropractic Physician/Owner
Phone
(973) 597-9766

Practitioners 2

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250502000017 NJ Part B Supplier - Clinic/Group Practice 9234655259 Receives reassigned benefits from 1 practitioner
Practice locations: Livingston, NJ

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X Yes

Addresses

Primary practice location

65 E Northfield Rd Ste F
Livingston, NJ 07039-4525

Mailing address

65 E Northfield Rd Ste F
Livingston, NJ 07039-4525
Phone (973) 597-9766

Other providers in Livingston, NJ

All providers in Livingston, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.