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LEO A. STATEN DC LLC
NPI 1407251218
Chiropractor in Neptune City, NJ

Active since October 23, 2014
61 MORRIS AVE, NEPTUNE CITY, NJ 07753(732) 456-6337(973) 695-1933 Get Directions Write a Review

NPPES record last updated: August 31, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Leo A. Staten Dc Llc NPPES

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

LEO A. STATEN DC LLC (NPI 1407251218) is a healthcare organization registered as a chiropractor in Neptune City, New Jersey and active in the NPI registry since October 2014. The organization lists Dimitra Denise Pallis, Manager, as its authorized official.

NPPES Registry Identity

NPI1407251218
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLEO A. STATEN DC LLC
Location Address61 MORRIS AVENeptune City, NJ 07753-6426
Mailing AddressPo Box 51Ledgewood, NJ 07852-0051 · (201) 874-9084 · Fax (973) 695-1933
Phone(732) 456-6337
Fax(973) 695-1933
Organization SubpartNo
Authorized OfficialDimitra Denise PallisManager · (201) 874-9084
Enumeration DateOctober 23, 2014
Last NPPES UpdateAugust 31, 2015
✔ NPI 1407251218 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00631300
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.
61 MORRIS AVE, Neptune City, NJ 07753
Open in Google Maps ↗

Other Identifiers 2

Medicare PIN429838NJ
Medicare PIN429841NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Leo A. Staten Dc Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Leo A. Staten Dc LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Leo Staten, D.C.
Chiropractic
NPI 1063563625
61 MORRIS AVE
Neptune City, NJ 07753
(201) 874-9084
Same address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Leo A. Staten Dc LLC's NPI number?

The NPI number for Leo A. Staten Dc LLC is 1407251218. It was assigned to this organization in the NPPES registry on October 23, 2014.

Where is Leo A. Staten Dc LLC located?

Leo A. Staten Dc LLC is located at 61 Morris Ave, Neptune City, NJ 07753. The listed phone number is (732) 456-6337.

What is Leo A. Staten Dc LLC's specialty?

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

Is Leo A. Staten Dc LLC enrolled in Medicare?

Yes. Leo A. Staten Dc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Leo A. Staten Dc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Leo A. Staten Dc LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Leo A. Staten Dc LLC was last updated on August 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.