PETER JACELONE D.C.
NPI 1225115223
Chiropractor in Randolph, NJ

Q: What is Peter Jacelone's NPI number?

The NPI number for Peter Jacelone is 1225115223. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Q: What is Peter Jacelone's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Peter Jacelone was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 01, 2006

669 MILLBROOK AVE, RANDOLPH, NJ 07869(973) 895-5636 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Peter Jacelone D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETER JACELONE D.C. (NPI 1225115223) is an individual chiropractor in Randolph, New Jersey, licensed in New Jersey (38MC00185400) and active in the NPI registry since November 2006. He is a graduate of Palmer College Chiropractic - Davenport (1979).

NPPES Registry Identity

NPI1225115223

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NamePETER JACELONECredential: D.C.

Location Address669 MILLBROOK AVERandolph, NJ 07869-3703

Mailing Address669 Millbrook AveRandolph, NJ 07869-3703 · (973) 895-5636

Phone(973) 895-5636

Sole ProprietorYes

Medical School CMSPalmer College Chiropractic - DavenportGraduated 1979

Enumeration DateNovember 1, 2006

Last NPPES UpdateJanuary 29, 2008

✔ NPI 1225115223 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in NJ · 38MC00185400

Definition

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.

669 MILLBROOK AVE, Randolph, NJ 07869

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Other Identifiers 1

Medicare ID-Type Unspecified450465NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Jacelone D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052573813

PECOS Enrollment IDI20120424000627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Peter Jacelone's NPI number?

The NPI number for Peter Jacelone is 1225115223. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Peter Jacelone located?

Peter Jacelone practices at 669 Millbrook Ave, Randolph, NJ 07869. The listed phone number is (973) 895-5636.

What is Peter Jacelone's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Peter Jacelone enrolled in Medicare?

Yes. Peter Jacelone is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Peter Jacelone was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.