Provider Demographics
NPI:1225129018
Name:PILTIN, STANLEY B (DC)
Entity Type:Individual
Prefix:DR
First Name:STANLEY
Middle Name:B
Last Name:PILTIN
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 1:722 S WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:SOMERDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:08083-1247
Mailing Address - Country:US
Mailing Address - Phone:856-784-5700
Mailing Address - Fax:856-784-5030
Practice Address - Street 1:722 S WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:SOMERDALE
Practice Address - State:NJ
Practice Address - Zip Code:08083-1247
Practice Address - Country:US
Practice Address - Phone:856-784-5700
Practice Address - Fax:856-784-5030
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00207700111N00000X, 111NX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NX0800XChiropractic ProvidersChiropractorOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6489128OtherOXFORD PIN
NJ0935725OtherCIGNA PIN
NJ0075099000OtherAMERIHEALTH PIN
NJ548211OtherAETNA PIN
NJ780222404056OtherHORIZON BCBSNJ PIN
NJT44635Medicare UPIN
NJ0075099000OtherAMERIHEALTH PIN