Provider Demographics
NPI:1598034001
Name:JEFFREY P. ORLIKOWSKI D.C.,P.A.
Entity Type:Organization
Organization Name:JEFFREY P. ORLIKOWSKI D.C.,P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:ORLIKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-864-6666
Mailing Address - Street 1:414 35TH ST
Mailing Address - Street 2:
Mailing Address - City:UNION CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07087-3951
Mailing Address - Country:US
Mailing Address - Phone:201-864-6666
Mailing Address - Fax:201-864-9336
Practice Address - Street 1:414 35TH ST
Practice Address - Street 2:
Practice Address - City:UNION CITY
Practice Address - State:NJ
Practice Address - Zip Code:07087-3951
Practice Address - Country:US
Practice Address - Phone:201-864-6666
Practice Address - Fax:201-864-9336
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00399600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ661202OtherOPTUM HEALTH
NJ670912OtherMEDICARE ID
NJ350055659OtherPALMETTO GBA RAILROAD MEDICARE
NJ4410188OtherAETNA
NJ12285150OtherCAQH
NJ4843100Medicaid
NJ670912OtherMEDICARE ID