MEDICARE: DR. LISETTE M ROLLINS D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	38MC00710000	NJ
2	111N00000X	Chiropractor	011991	NY

General Provider Information

NPI Number	:	1013295385
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LISETTE M ROLLINS D.C.

Provider Business Mailing Address
First Line	:	906 OAK TREE AVE STE K
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5127
Country	:	US
Telephone Number	:	908-346-1295
Fax Number	:	908-320-8400

Provider Business Practice Location Address
First Line	:	906 OAK TREE AVE STE K
Second Line	:
City	:	SOUTH PLAINFIELD
State	:	NJ
Zip	:	07080-5127
Country	:	US
Telephone Number	:	908-364-1295
Fax Number	:	908-320-8400

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/03/2011
Last Update Date	:	02/02/2026

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