Provider Demographics
NPI:1083801526
Name:MONMOUTH CHIROPRACTIC NEUROLOGY ASSOC PA
Entity Type:Organization
Organization Name:MONMOUTH CHIROPRACTIC NEUROLOGY ASSOC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDO
Authorized Official - Middle Name:R
Authorized Official - Last Name:SCOPELLITI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-229-5250
Mailing Address - Street 1:279 3RD AVE
Mailing Address - Street 2:SUITE 404
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6205
Mailing Address - Country:US
Mailing Address - Phone:732-229-5250
Mailing Address - Fax:732-229-5280
Practice Address - Street 1:279 3RD AVE
Practice Address - Street 2:SUITE 404
Practice Address - City:LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07740-6211
Practice Address - Country:US
Practice Address - Phone:732-229-5250
Practice Address - Fax:732-229-5280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-28
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00384000111NN0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ710917Medicare PIN
NJU28120Medicare UPIN