Craig Rallo Chiropractor,llc
Chiropractor in Old Bridge, NJ. Organization (NPI-2).
NPI number1114455201
StatusActive
Last updated in NPPESJun 23, 2017
Details
- NPI
- 1114455201
- Entity type
- Organization (NPI-2)
- Legal business name
- Craig Rallo Chiropractor,llc
- Organization subpart
- No
- Enumeration date
- Jun 1, 2017
- Last updated
- Jun 23, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 38MC0062550 | NJ | Yes |
Practice location
2698 County Rd 516 Ste COld Bridge, NJ 08857-2305
Phone 732-679-1100 · Fax 732-679-5770
Mailing address
2698 County Rd 516 Ste COld Bridge, NJ 08857-2305
Phone 732-679-1100 · Fax 732-679-5770
Authorized official
Craig Rallo
Owner
7326791100
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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