Healthcare Provider Details

I. General information

NPI: 1336084912
Provider Name (Legal Business Name): DR DEAN A. CIANCIULLI, DC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2026
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

654 AVENUE C STE 102
BAYONNE NJ
07002-3899
US

IV. Provider business mailing address

654 AVENUE C STE 102
BAYONNE NJ
07002-3899
US

V. Phone/Fax

Practice location:
  • Phone: 201-339-3186
  • Fax: 201-339-2474
Mailing address:
  • Phone: 201-339-3186
  • Fax: 201-339-2474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. DEAN A. CIANCIULLI
Title or Position: OWNER
Credential: DC
Phone: 201-339-3186