Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Jack Facciolo, D.O.
Specialist in Rio Grande, NJ · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1558330076
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Registry record
Entity type Individual (Type 1)
Name Dr. Jack Facciolo
Credential D.O.
Sex Male
Practice address 1 Secluded Ln, Rio Grande, NJ, 08242
Phone (609) 368-1952
Enumeration date Mar 16, 2006
Last updated in NPPES Dec 1, 2009
Taxonomy & licenses
DO · Doctor of Osteopathic Medicine: A fully licensed physician trained in osteopathic medical schools, with the same practice rights as an MD.
About the DO credential
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1213261003 | Other | NJ | CIGNA PPO NUMBER |
| 2345005 | Medicaid | NJ | - |
| CMS005 | Other | NJ | OXFORD PROVIDER NUMBER |
| 1074056 | Other | NJ | HORIZON NJ HEALTH NUMBER |
| 825040 | Other | NJ | CIGNA HMO NUMBER |
| 0090462000 | Other | NJ | INDP BCBS PROVIDER NUMBER |
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.
Frequently asked questions
How do I verify Jack Facciolo's NPI record?
Cross-check NPI 1558330076 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1558330076 active?
Yes, as of the latest NPPES snapshot, NPI 1558330076 is active (record last updated 2009-12-01).
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-01.