DR. EDWARD PETER FORMISANO D.C. NPI 1891815098

NPI Information

  • NPI: 1891815098
  • Provider Name: DR. EDWARD PETER FORMISANO, D.C.
  • Classification: Chiropractor - 111NS0005X
  • Specialization: Sports Physician
  • Entity Type: Individual
  • Address: 32 BUDD AVE
    CHESTER, NJ
    ZIP 07930
  • Phone: (908) 879-8709

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NPI Details

DR. Edward Peter Formisano, D.C. is a sports physician chiropractor in Chester, NJ. The provider is a sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. DR. Edward Peter Formisano, D.C. NPI is 1891815098. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

32 BUDD AVE
CHESTER, NJ
ZIP 07930-506
Phone: (908) 879-8709
Fax: (908) 879-8909

The enumeration date for this NPI number is 3/30/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111NS0005XChiropractorSports Physician38MC00363800NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17006608MEDICAIDNEW JERSEY
2F658791MEDICARE ID-TYPE UNSPECIFIEDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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