Provider Demographics
NPI:1003860230
Name:CARCAISE, PASQUALE J (DC, DACAN)
Entity Type:Individual
Prefix:DR
First Name:PASQUALE
Middle Name:J
Last Name:CARCAISE
Suffix:
Gender:M
Credentials:DC, DACAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:246 S WHITE HORSE PIKE
Mailing Address - Street 2:
Mailing Address - City:AUDUBON
Mailing Address - State:NJ
Mailing Address - Zip Code:08106-1352
Mailing Address - Country:US
Mailing Address - Phone:856-547-7722
Mailing Address - Fax:856-547-6607
Practice Address - Street 1:246 S WHITE HORSE PIKE
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1352
Practice Address - Country:US
Practice Address - Phone:856-547-7722
Practice Address - Fax:856-547-6607
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00187600111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN0400XChiropractic ProvidersChiropractorNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT73106Medicare UPIN