Provider Demographics
NPI:1407926447
Name:CECE, JOHN THOMAS (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:CECE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:71 FRANKLIN TPKE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:WALDWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:07463-1851
Mailing Address - Country:US
Mailing Address - Phone:201-445-9739
Mailing Address - Fax:201-445-9401
Practice Address - Street 1:71 FRANKLIN TPKE
Practice Address - Street 2:SUITE 5
Practice Address - City:WALDWICK
Practice Address - State:NJ
Practice Address - Zip Code:07463-1851
Practice Address - Country:US
Practice Address - Phone:201-445-9739
Practice Address - Fax:201-445-9401
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC04069111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJMC04069OtherSTATE LICENSE NUMBER
NJ1077458OtherUNITEDHEALTHCARE ID#
NJP555681OtherOXFORD INSURANCE ID#
NJU37214Medicare UPIN
NJP555681OtherOXFORD INSURANCE ID#