MEDICARE: DR. LOUIS FRANK DIODATO III DC LAC

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	38MC00327200	NJ
2	171100000X	Acupuncturist	25MZ00037900	NJ

General Provider Information

NPI Number	:	1144280843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LOUIS FRANK DIODATO III DC LAC

Provider Business Mailing Address
First Line	:	565 HWY 35
Second Line	:	SUITE 4
City	:	RED BANK
State	:	NJ
Zip	:	07701-5047
Country	:	US
Telephone Number	:	732-747-2222
Fax Number	:	732-747-3814

Provider Business Practice Location Address
First Line	:	565 HWY 35
Second Line	:	SUITE 4
City	:	RED BANK
State	:	NJ
Zip	:	07701-5047
Country	:	US
Telephone Number	:	732-747-2222
Fax Number	:	732-747-3814

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

Provider Enumeration Date	:	03/25/2006
Last Update Date	:	09/11/2025

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