Provider Demographics
NPI:1376990507
Name:ASUNCION, JOAN
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:
Last Name:ASUNCION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 US HIGHWAY 22 E UNIT 214
Mailing Address - Street 2:
Mailing Address - City:WHITEHOUSE STATION
Mailing Address - State:NJ
Mailing Address - Zip Code:08889-3753
Mailing Address - Country:US
Mailing Address - Phone:908-448-2802
Mailing Address - Fax:
Practice Address - Street 1:665 US HIGHWAY 22 E UNIT 214
Practice Address - Street 2:
Practice Address - City:WHITEHOUSE STATION
Practice Address - State:NJ
Practice Address - Zip Code:08889-3753
Practice Address - Country:US
Practice Address - Phone:908-448-2802
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-18
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ18KT00482300225700000X, 305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist