Provider Demographics
| NPI: | 1306839303 |
|---|---|
| Name: | TOWEY, JASON M (DC) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | JASON |
| Middle Name: | M |
| Last Name: | TOWEY |
| Suffix: | |
| 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: | 217 PHILADELPHIA AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | EGG HARBOR CITY |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08215-1330 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 609-593-3190 |
| Mailing Address - Fax: | 609-593-3173 |
| Practice Address - Street 1: | 217 PHILADELPHIA AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | EGG HARBOR CITY |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 08215-1330 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 609-593-3190 |
| Practice Address - Fax: | 609-593-3173 |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2005-08-24 |
| Last Update Date: | 2012-02-21 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| NJ | MC05726 | 111N00000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 111N00000X | Chiropractic Providers | Chiropractor |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NJ | 5913605 | Other | CIGNA |
| NJ | 3984835 | Other | AETNA HMO |
| NJ | 671577 | Other | UNITED HEALTHCARE |
| NJ | 7539729 | Other | AETNA |
| NJ | 2452383000 | Other | AMERIHEALTH |
| NJ | 671577 | Other | UNITED HEALTHCARE |
| NJ | U83546 | Medicare UPIN |