Provider Demographics
NPI:1225100217
Name:KOVACS, ROBERT J SR (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:KOVACS
Suffix:SR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 ST GEORGES AVENUE
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-2541
Mailing Address - Country:US
Mailing Address - Phone:732-382-3711
Mailing Address - Fax:732-382-3037
Practice Address - Street 1:604 ST GEORGES AVENUE
Practice Address - Street 2:
Practice Address - City:RAHWAY
Practice Address - State:NJ
Practice Address - Zip Code:07065-2541
Practice Address - Country:US
Practice Address - Phone:732-382-3711
Practice Address - Fax:732-382-3037
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00116000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
K0188187Medicare UPIN
T44846Medicare UPIN