Provider Demographics
NPI:1558544338
Name:NIERODA, JOSEPH STEWART (DC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:STEWART
Last Name:NIERODA
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 1:925 ELIZABETH AVE
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07201-2727
Mailing Address - Country:US
Mailing Address - Phone:908-353-7701
Mailing Address - Fax:908-353-7707
Practice Address - Street 1:925 ELIZABETH AVE
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07201-2727
Practice Address - Country:US
Practice Address - Phone:908-353-7701
Practice Address - Fax:908-353-7707
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-14
Last Update Date:2016-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC005327111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor