Provider Demographics
NPI:1184845307
Name:COVALESKY, JOHN (DO)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:
Last Name:COVALESKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:831 TENNENT RD STE 1F
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-8289
Mailing Address - Country:US
Mailing Address - Phone:732-851-4700
Mailing Address - Fax:732-851-4703
Practice Address - Street 1:831 TENNENT RD STE 1F
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-8289
Practice Address - Country:US
Practice Address - Phone:732-851-4700
Practice Address - Fax:732-851-4703
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MB07890400174400000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No174400000XOther Service ProvidersSpecialist