Guy David Pistilli, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00365600 Issued in NJ

Practice address

223 S Evergreen Ave
Woodbury, NJ 08096-2713

Phone

(856) 848-1515

Fax

(856) 845-7753

NPI assigned

Jan 22, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Woodbury Physical Medicine, LLC

  • Chiropractor
  • Woodbury, NJ
  • NPI 1053354878
  Authorized official Same address or phone

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669525598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962713",
            "telephone_number": "856-848-1515",
            "fax_number": "856-845-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 S EVERGREEN AVE",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080962713",
            "telephone_number": "856-848-1515",
            "fax_number": "856-845-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISTILLI",
        "first_name": "GUY",
        "middle_name": "DAVID",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00365600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suzanne Marie Petrucci, LCSW
• Joseph B Phillips Jr., FNP-C
• Timothy Pilla, M.D.
• Meghan Pinto, LCSW
• Melissa Pinto, PHARMD
• Plastic & Cosmetic Surgical Group of New Jersey, P.C.
• Betzaida Plaza, MHS-C
• Jacqueline Polillo
• Kristin Elizabeth Pollock, MA, BC-DMT, LPC, ACS
• Alexandria Porrini

• Chiropractor in Woodbury, NJ
• Providers in Woodbury, 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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.