Jack Facciolo (NPI# 1558330076, PAC ID# 8921149006) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1558330076 |
| PAC ID by PECOS | 8921149006 |
| Professional Enrollment ID | I20100112000253 |
| Full Name | Jack Facciolo |
| Address |
1 Secluded Ln Rio Grande NJ 08242-1546 |
| Phone Number | 6098860800 |
| Gender | M |
| Medical School | PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1980 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 310011 | CAPE REGIONAL MEDICAL CENTER INC |
| Address | Phone | Organization |
|---|---|---|
| 1 Secluded Ln, Rio Grande, NJ 08242-1546 | 6098860800 |
| Street Address |
1 SECLUDED LN |
| City | RIO GRANDE |
| State | NJ |
| Zip | 08242-1546 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Q Bee | Optometry | 1304 Rt 47 S Unit M, Rio Grande, NJ 08242 | |
| Robert Olivieri | Chiropractic | Olivieri Chiropractic Center LLC | 1501 Route 47, Rio Grande, NJ 08242-1401 |
| Peter V Olson | Chiropractic | Olivieri Chiropractic Center LLC | 1501 Route 47, Rio Grande, NJ 08242-1401 |
| Michael Stephen Kocinski | Osteopathic Manipulative Medicine | Atlanticare Physician Group Pa | 1613 Route 47, Unit F, Rio Grande, NJ 08242-1411 |
| Carmel M Odonnell | Internal Medicine | Atlanticare Physician Group Pa | 1613 Route 47, Unit F, Rio Grande, NJ 08242-1411 |
| Victoria Summer Rose | Family Medicine | Atlanticare Physician Group Pa | 1613 Route 47, Unit F, Rio Grande, NJ 08242-1411 |
| Jonathan Gewirtz | Obstetrics/gynecology | Atlanticare Physician Group Pa | 1613 Route 47, Unit F, Rio Grande, NJ 08242-1411 |
| Maisie L Hahn | Chiropractic | 1058 Route 47 S, Rio Grande, NJ 08242-1506 | |
| James P Farrell | Chiropractic | 1058 Route 47 S, Rio Grande, NJ 08242-1506 | |
| Sheila I Stevens | Chiropractic | 1058 Route 47 S, Rio Grande, NJ 08242-1506 | |
| Find all physicians in zip 08242 | |||
| City | RIO GRANDE |
| Zip Code | 08242 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | RIO GRANDE + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Jack Facciolo.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.