Healthcare Provider Details

I. General information

NPI: 1679477236
Provider Name (Legal Business Name): NUNZIO ANTONIO FRISINA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2026
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CRAIG RD STE 220
MANALAPAN NJ
07726-8731
US

IV. Provider business mailing address

17 VAN HISE DR
MILLSTONE TOWNSHIP NJ
08535-1015
US

V. Phone/Fax

Practice location:
  • Phone: 732-913-0033
  • Fax: 732-913-0044
Mailing address:
  • Phone: 718-483-5192
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07530900
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: