Provider Demographics
NPI:1598899916
Name:KAMINSKI, TAMMY MARGET (DC)
Entity Type:Individual
Prefix:DR
First Name:TAMMY
Middle Name:MARGET
Last Name:KAMINSKI
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 BLOOMFIELD AVE STE 3C
Mailing Address - Street 2:
Mailing Address - City:WEST CALDWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07006-7585
Mailing Address - Country:US
Mailing Address - Phone:973-228-6624
Mailing Address - Fax:973-228-6215
Practice Address - Street 1:616 BLOOMFIELD AVE STE 3C
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7585
Practice Address - Country:US
Practice Address - Phone:973-228-6624
Practice Address - Fax:973-228-6215
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00295500111N00000X
PADC003016L111N00000X
NYX4282111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJUO1738Medicare UPIN
NJ623884Medicare ID - Type UnspecifiedPROVIDER NUMBER