Provider Demographics
NPI:1821349911
Name:SCHRAGEN CHIROPRACTIC
Entity Type:Organization
Organization Name:SCHRAGEN CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TODD
Authorized Official - Middle Name:E
Authorized Official - Last Name:SCHRAGEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-758-1501
Mailing Address - Street 1:381 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-5011
Mailing Address - Country:US
Mailing Address - Phone:973-758-1501
Mailing Address - Fax:973-758-1507
Practice Address - Street 1:381 WALNUT ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-5011
Practice Address - Country:US
Practice Address - Phone:973-758-1501
Practice Address - Fax:973-758-1507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-28
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ043989Medicare UPIN
NJ187257Medicare UPIN
NJ207456ZDARMedicare UPIN
NJ259192Medicare UPIN