Provider Demographics
NPI:1639215734
Name:MARK A. NAJJAR
Entity Type:Organization
Organization Name:MARK A. NAJJAR
Other - Org Name:AIRPORT PLAZA CHIROPRACTIC CTR.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:NAJJAR
Authorized Official - Suffix:
Authorized Official - Credentials:LDC
Authorized Official - Phone:732-264-2233
Mailing Address - Street 1:1354 STATE ROUTE 36
Mailing Address - Street 2:
Mailing Address - City:HAZLET
Mailing Address - State:NJ
Mailing Address - Zip Code:07730-1716
Mailing Address - Country:US
Mailing Address - Phone:732-264-2233
Mailing Address - Fax:732-739-5538
Practice Address - Street 1:1354 STATE ROUTE 36
Practice Address - Street 2:
Practice Address - City:HAZLET
Practice Address - State:NJ
Practice Address - Zip Code:07730-1716
Practice Address - Country:US
Practice Address - Phone:732-264-2233
Practice Address - Fax:732-739-5538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-29
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03179111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5898675OtherGHI
NJP469513OtherOXFORD
NJ114730800OtherDEPARTMENT OF LABOR
NJ4216634OtherAETNA
NJ5898675OtherGHI
NJ4216634OtherAETNA