Provider Demographics
NPI:1497783807
Name:MCHUGH, JOHN A (DC)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:A
Last Name:MCHUGH
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 1:401 HILLSDALE AVE
Mailing Address - Street 2:
Mailing Address - City:HILLSDALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07642-2712
Mailing Address - Country:US
Mailing Address - Phone:201-497-6630
Mailing Address - Fax:201-497-6620
Practice Address - Street 1:401 HILLSDALE AVE
Practice Address - Street 2:
Practice Address - City:HILLSDALE
Practice Address - State:NJ
Practice Address - Zip Code:07642-2712
Practice Address - Country:US
Practice Address - Phone:201-497-6630
Practice Address - Fax:201-497-6620
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00448200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ844630Medicare PIN
NJU60434Medicare UPIN