Provider Demographics
NPI:1801031034
Name:CHIROPRACTIC ORTHOPEDIC ASSOCIATES LLP
Entity Type:Organization
Organization Name:CHIROPRACTIC ORTHOPEDIC ASSOCIATES LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:HERZOG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-431-1126
Mailing Address - Street 1:PO BOX 6723
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-6723
Mailing Address - Country:US
Mailing Address - Phone:732-431-1126
Mailing Address - Fax:732-414-1551
Practice Address - Street 1:3499 ROUTE 9 N
Practice Address - Street 2:SUITE 2B
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-3258
Practice Address - Country:US
Practice Address - Phone:732-431-1126
Practice Address - Fax:732-414-1551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-02
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
536482Medicare PIN
536482Medicare UPIN