Individual
DR. SHANNON MARINIELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
517 RIVER DR STE 2A, GARFIELD, NJ 07026-3270
(973) 955-0755
(973) 955-0753
Mailing address
517 RIVER DR STE 2A, GARFIELD, NJ 07026-3270
(973) 955-0755
(973) 955-0753
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00505700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050005057NJ01
ANTHEM HEALTH
NJ
01
—
0798375000
AMERIHEALTH
NJ
01
—
1047999
AETNA HMO
NJ
01
—
1126013
HORIZON NJ HEALTH
NJ
01
—
1996718
UNITED HEALTHCARE
NJ
01
—
24878
UNIVERSITY HEALTH PLANS
NJ
01
—
31356
MASTERCARE
NJ
01
—
5362694
AETNA
NJ
01
—
5899591
GHI
NJ
01
—
5936399004
CIGNA
NJ
05
—
7722702
—
NJ
01
—
96301
AMERIGROUP
NJ
01
—
P2084184
OXFORD
NJ
01
—
X2D241
EMPIRE
NJ
Enumeration date
01/03/2006
Last updated
07/21/2022
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