ACTIVE RELEASE & CHIROPRACTIC CENTER LLC
NPI 1417575150
Chiropractor in Wall Township, NJ

Q: What is Active Release & Chiropractic Center LLC's specialty?

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

Active since July 09, 2020

3350 HWY 138 STE 227, WALL TOWNSHIP, NJ 07719(732) 280-1800(732) 280-2323 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Active Release & Chiropractic Center Llc NPPES

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

ACTIVE RELEASE & CHIROPRACTIC CENTER LLC (NPI 1417575150), doing business as Dr. Anthony A. Criscuolo, is a healthcare organization registered as a chiropractor in Wall Township, New Jersey and active in the NPI registry since July 2020. The organization lists Anthony A Criscuolo, Ao / Provider / Owner, as its authorized official.

NPPES Registry Identity

NPI1417575150

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NameACTIVE RELEASE & CHIROPRACTIC CENTER LLC

Location Address3350 HWY 138 STE 227Wall Township, NJ 07719-9694

Mailing Address3350 Hwy 138 Ste 227Wall Township, NJ 07719-9694 · (732) 280-1800 · Fax (732) 280-2323

Phone(732) 280-1800

Fax(732) 280-2323

Organization SubpartNo

Authorized OfficialAnthony A CriscuoloAo / Provider / Owner · (732) 280-1800

Enumeration DateJuly 9, 2020

NPPES CertifiedJuly 9, 2020

✔ NPI 1417575150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

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.

3350 HWY 138 STE 227, Wall Township, NJ 07719

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Other Names 1

Doing Business AsDr. Anthony A. Criscuolo

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)

Active Release & Chiropractic Center 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 Active Release & Chiropractic Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Justin Culici, D.C.

Chiropractic

NPI 1144689324

1410 HIGHLAND AVE STE 201
Needham, MA 02492

(781) 449-5722

208 mi

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 Active Release & Chiropractic Center LLC's NPI number?

The NPI number for Active Release & Chiropractic Center LLC is 1417575150. It was assigned to this organization in the NPPES registry on July 9, 2020. The provider is doing business as Dr. Anthony A. Criscuolo.

Where is Active Release & Chiropractic Center LLC located?

Active Release & Chiropractic Center LLC is located at 3350 Hwy 138 Ste 227, Wall Township, NJ 07719. The listed phone number is (732) 280-1800.

What is Active Release & Chiropractic Center LLC's specialty?

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

Is Active Release & Chiropractic Center LLC enrolled in Medicare?

Yes. Active Release & Chiropractic Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Active Release & Chiropractic Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Active Release & Chiropractic Center 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 Active Release & Chiropractic Center LLC was last updated on July 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.