Provider Demographics
NPI:1649390154
Name:MURPHY, JOHN THOMAS JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:THOMAS
Last Name:MURPHY
Suffix:JR
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 1:333 MURRAY DR
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1180
Mailing Address - Country:US
Mailing Address - Phone:732-363-5651
Mailing Address - Fax:
Practice Address - Street 1:4 E HIGH ST
Practice Address - Street 2:
Practice Address - City:BOUND BROOK
Practice Address - State:NJ
Practice Address - Zip Code:08805-1946
Practice Address - Country:US
Practice Address - Phone:732-356-8100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC3568111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7323703300OtherBCBS
NJ2274886OtherUNITED HEALTH CARE
NJ2274886OtherUNITED HEALTH CARE
NJ417320Medicare ID - Type Unspecified