Provider Demographics
NPI:1043224090
Name:OLIVIERI, ROBERT STANLEY (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STANLEY
Last Name:OLIVIERI
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 ROUTE 47
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:NJ
Mailing Address - Zip Code:08242-1401
Mailing Address - Country:US
Mailing Address - Phone:609-886-8585
Mailing Address - Fax:609-886-8540
Practice Address - Street 1:1501 ROUTE 47
Practice Address - Street 2:
Practice Address - City:RIO GRANDE
Practice Address - State:NJ
Practice Address - Zip Code:08242-1401
Practice Address - Country:US
Practice Address - Phone:609-886-8585
Practice Address - Fax:609-886-8540
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03186111NN0400X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered111NN0400XChiropractic ProvidersChiropractorNeurology
Not Answered111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0099307000Other10-DIGIT HMO ID
NJ076166Medicare ID - Type Unspecified
NJ0099307000Other10-DIGIT HMO ID