Provider Demographics
NPI:1083893341
Name:CENTRAL JERSEY TOTAL HEALTHCARE
Entity Type:Organization
Organization Name:CENTRAL JERSEY TOTAL HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:R
Authorized Official - Last Name:BALON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-549-0141
Mailing Address - Street 1:289 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:METUCHEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08840-1242
Mailing Address - Country:US
Mailing Address - Phone:732-549-0141
Mailing Address - Fax:732-632-2103
Practice Address - Street 1:289 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:METUCHEN
Practice Address - State:NJ
Practice Address - Zip Code:08840-1242
Practice Address - Country:US
Practice Address - Phone:732-549-0141
Practice Address - Fax:732-632-2103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00130600111N00000X
NJ38MC00206200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ099316Medicare PIN