Provider Demographics
NPI:1205036159
Name:CIFELLI CHIROPRACTIC PC
Entity Type:Organization
Organization Name:CIFELLI CHIROPRACTIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTONY
Authorized Official - Middle Name:
Authorized Official - Last Name:CIFELLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-505-9477
Mailing Address - Street 1:300 W WATER ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-6533
Mailing Address - Country:US
Mailing Address - Phone:732-505-9477
Mailing Address - Fax:732-505-9577
Practice Address - Street 1:300 W WATER ST
Practice Address - Street 2:SUITE D
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-6533
Practice Address - Country:US
Practice Address - Phone:732-505-9477
Practice Address - Fax:732-505-9577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2007-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00531600111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ112815OtherMEDICARE GROUP PIN
NJ112815OtherMEDICARE GROUP PIN
NJU73561Medicare UPIN