CHARLES S CORALLO (NPI# 1689699753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689699753 |
| Entity Type | Individual |
| Full Name | CHARLES S CORALLO |
| Credential | D.C. |
| Practice Address |
191 Ramapo Valley Rd Oakland NJ 07436-2509 |
| Practice Telephone | 2016510051 |
| Practice Fax Number | 2016510064 |
| Mailing Telephone | 2016510051 |
| Mailing Fax Number | 2016510064 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2018-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | MC001845 | NJ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6428509 | 05 |
| Street Address |
191 RAMAPO VALLEY RD |
| City | OAKLAND |
| State | NJ |
| Zip Code | 07436-2509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
| 1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
| 1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
| 1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
| 1669621231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Ramapo Valley Rd, Oakland, NJ 07436 | 2008-09-18 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
| 1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
| 1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
| 1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
| Find all providers in zip 07436 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363079 | Zachary Allen Peters | Chiropractor | 2071 Antioch Ct Ste 203, Oakland, CA 94611-2955 | 2020-10-15 |
| 1962049668 | Karen Beth Pazera | Chiropractor | 2921 Mcclure St, Oakland, CA 94609-3504 | 2019-12-02 |
| 1306482427 | Oscar Erkenswick | Chiropractor | 1515 Alice St Apt 29, Oakland, CA 94612-5002 | 2019-11-24 |
| 1467917096 | Alexander Vo Navasca | Chiropractor | 3623 Macarthur Blvd Ste B, Oakland, CA 94619-1352 | 2019-02-07 |
| 1912478587 | Joie Mazor | Chiropractor | 3201 Macarthur Blvd., Oakland, CA 94602 | 2018-12-07 |
| 1629588587 | Pottawattamie County Sports and Family Chiropractic | Chiropractor | 101 N Main St Ste 3, Oakland, IA 51560-4356 | 2017-10-05 |
| 1124553896 | Mainspring Chiropractic Inc | Chiropractor | 16 Thornton Rd, Oakland, NJ 07436-3104 | 2017-05-01 |
| 1205385085 | Carol Wright Smith | Chiropractor | 7742 Highway 64, Suite E, Oakland, TN 38060-6061 | 2016-09-22 |
| 1962959460 | Healing Arts Chiropractic | Chiropractor | 187 40th Street Way, Oakland, CA 94611 | 2016-09-01 |
| 1093199044 | Erin Christine Fisher | Chiropractor | 1519 32nd St, Oakland, CA 94608-4003 | 2015-07-18 |
| Find all providers in OAKLAND | ||||
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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.