Individual provider Active NPI

Scott Brian Krisanda, DC

  • Chiropractor
  • Phillipsburg, NJ
National Provider Identifier
1871524124
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC3814 Issued in NJ
Practice address
538 New Brunswick Ave
Phillipsburg, NJ 08865-3942
Phone
(908) 213-9000
Fax
(908) 213-9002
NPI assigned
Jul 5, 2006
Last updated
Oct 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC3814 NJ Primary

Addresses

Primary practice location

538 New Brunswick Ave
Phillipsburg, NJ 08865-3942

Mailing address

538 New Brunswick Ave
Phillipsburg, NJ 08865-3942
Phone (908) 213-9000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070213000270 NJ Practitioner - Chiropractic 9335141803 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC3814NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Pain & Injury Center, LLC Chiropractor CurrentSince Nov 2, 2020 Accepting new patients
Sigmund L. Sattenspiel, M.D., P.a. PastSince Dec 4, 2024 Accepting new patients
Advanced Associates for Diagnosis and Physical Rehabilitation LLC Past Accepting new patients

Locations

1082 Saint Georges Ave
Rahway, NJ 07065
Phone (732) 388-4344

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1871524124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 NEW BRUNSWICK AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653942",
            "telephone_number": "908-213-9000",
            "fax_number": "908-213-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 NEW BRUNSWICK AVE",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088653942",
            "telephone_number": "908-213-9000",
            "fax_number": "908-213-9002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISANDA",
        "first_name": "SCOTT",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC3814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phillipsburg, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; 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.