DR. ARNOLD CRISCITIELLO (NPI# 1245233634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245233634 |
Entity Type | Individual |
Full Name | DR. ARNOLD CRISCITIELLO |
Credential | M.D. |
Practice Address |
85 S Maple Ave Ridgewood NJ 07450 |
Mailing Address |
85 S Maple Ave Ridgewood NJ 07450-4561 |
Practice Telephone | 2014452830 |
Practice Fax Number | 2014457471 |
Mailing Telephone | 2014452830 |
Mailing Fax Number | 2014457471 |
Enumeration Date | 2005-05-31 |
Last Update Date | 2019-04-26 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | 25MA05971000 | NJ | Allopathic & Osteopathic Physicians |
Y | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
25MA05971000 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | BC/BS OF NY ID # | 80P901 | 01 |
NJ | OXFORD ID # | P2164406 | 01 |
NJ | RR MDCR# | 200040496 | 01 |
NJ | AETNA HMO ID # | 2448223 | 01 |
NJ | AETNA PPO ID # | 5973528 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
85 S Maple Ave, Ridgewood, NJ 074504561 | 2014452830 | 2014457471 |
Street Address |
85 S MAPLE AVE |
City | RIDGEWOOD |
State | NJ |
Zip Code | 07450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720692387 | Brett Ploshnick | Physical Therapist | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-09-01 |
1285245811 | Jessica I Deleon | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-08-17 |
1023629854 | Ammar Mustafa | Physical Therapist | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-08-14 |
1417508391 | Nirali Patel | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2019-09-23 |
1053888362 | Diana S Cronenberg | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-10-25 |
1962986703 | Nerricka Nalundasan | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-09-18 |
1336625623 | Victoria Rodriguez | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-07-19 |
1083109474 | Sydney Denault | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-06-27 |
1033628656 | Chelsea J. Mcclure | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2017-09-26 |
1629517206 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2017-02-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
Find all providers in zip 07450 |
Taxonomy Code | 207XS0117X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Orthopaedic Surgery of the Spine |
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003429036 | One Oak Medical Group, LLC | Orthopaedic Surgery | 1200 Green St, Iselin, NJ 08830-2014 | 2020-08-28 |
1164983268 | Gbolahan O. Okubadejo, M.d PC | Orthopaedic Surgery | 32 Marquis Ct, Edgewater, NJ 07020-2900 | 2019-03-29 |
1033614409 | Atherton Medical PC | Orthopaedic Surgery | 33 Park View Ave Apt 1105, Jersey City, NJ 07302-8306 | 2018-03-28 |
1821480245 | Heidi Martin Hullinger Md, PC | Orthopaedic Surgery | 33 Overlook Rd Ste 305, Summit, NJ 07901-3563 | 2015-02-22 |
1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
1265754832 | Specialized Spine Surgery | Orthopaedic Surgery | 835 Chanticleer Drive, Cherry Hill, NJ 08003-4813 | 2010-02-23 |
1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
1588841225 | Dr Roland Johnkins | Orthopaedic Surgery | 24 Mare Haven Ct, North Brunswick, NJ 08902-4847 | 2008-01-24 |
1497947022 | Gbolahan Olawole Okubadejo | Orthopaedic Surgery | 25 Rockwood Pl Ste 335, Englewood, NJ 07631-4959 | 2007-08-17 |
1578765244 | Joshua Seth Rovner | Orthopaedic Surgery | 440 Curry Ave Ste A, Englewood, NJ 07631-1794 | 2007-06-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.