Individual provider Active NPI

Dean Cianciulli, D.C.

  • Chiropractor
  • Bayonne, NJ
National Provider Identifier
1730403627
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MCC00362700 Issued in NJ
Practice address
654 Avenue C
Ste. 102
Bayonne, NJ 07002-3899
Phone
(201) 339-3186
Fax
(201) 339-2474
NPI assigned
Mar 21, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MCC00362700 NJ Primary

Addresses

Primary practice location

654 Avenue C
Ste. 102
Bayonne, NJ 07002-3899

Mailing address

654 Avenue C
Ste. 102
Bayonne, NJ 07002-3899
Phone (201) 339-3186

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150310000327 NJ Practitioner - Chiropractic 7315263340 Practice locations: Bayonne, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

654 Ave C
Suite 102
Bayonne, NJ 07002

654 Ave C
Suite 102
Bayonne, NJ 07002-3026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MCC00362700NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Dean a. Cianciulli, DC Chiropractor Current Accepting new patients

Locations

654 Avenue C
Ste 102
Bayonne, NJ 07002
Phone (201) 339-3186

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": "1269129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1730403627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 AVENUE C",
            "address_2": "STE. 102",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023899",
            "telephone_number": "201-339-3186",
            "fax_number": "201-339-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 AVENUE C",
            "address_2": "STE. 102",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023899",
            "telephone_number": "201-339-3186",
            "fax_number": "201-339-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIANCIULLI",
        "first_name": "DEAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-21",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MCC00362700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.