Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jack Facciolo, DO

Individual provider Specialist · NPI 1558330076

Dr. Jack Facciolo, DO is a Specialist in Rio Grande, New Jersey. Licensed in New Jersey. Registered with an NPI since 2006.

Licensed in
NJ
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1 Secluded Ln
Rio Grande, NJ 08242-1546
Phone: (609) 368-1952
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence MB039210 (NJ)

Record details

NPI number1558330076
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 16, 2006
Last updated in NPPESDecember 1, 2009
Mailing address1 Secluded Ln, Rio Grande, NJ 08242-1546