Provider Demographics
NPI:1588750517
Name:CARNELLI, JOSEPH FRANCIS (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:FRANCIS
Last Name:CARNELLI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 RIDGE ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTH ARLINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07031-6039
Mailing Address - Country:US
Mailing Address - Phone:201-991-0800
Mailing Address - Fax:201-955-2625
Practice Address - Street 1:136 RIDGE ROAD
Practice Address - Street 2:
Practice Address - City:NORTH ARLINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07031-6039
Practice Address - Country:US
Practice Address - Phone:201-991-0800
Practice Address - Fax:201-955-2625
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC00387300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
2054302OtherUNITED HEALTH CARE
P413280OtherOXFORD
2054302OtherUNITED HEALTH CARE
U09655Medicare UPIN