Individual
DR. ARNOLD CRISCITIELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450
(201) 445-2830
(201) 445-7471
Mailing address
85 S MAPLE AVE, RIDGEWOOD, NJ 07450-4561
(201) 445-2830
(201) 445-7471
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
25MA05971000
NJ
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
25MA05971000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200040496
RR MDCR#
NJ
01
—
2448223
AETNA HMO ID #
NJ
01
—
5973528
AETNA PPO ID #
NJ
01
—
80P901
BC/BS OF NY ID #
NJ
01
—
P2164406
OXFORD ID #
NJ
Enumeration date
05/31/2005
Last updated
04/26/2019
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