Provider Demographics
NPI:1912028762
Name:NORTH JERSEY CHIROPRACTIC AND WELLNESS CENTER
Entity Type:Organization
Organization Name:NORTH JERSEY CHIROPRACTIC AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAYEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:973-720-9900
Mailing Address - Street 1:547 UNION BOULVARD
Mailing Address - Street 2:
Mailing Address - City:TOTOWA
Mailing Address - State:NJ
Mailing Address - Zip Code:07512
Mailing Address - Country:US
Mailing Address - Phone:973-720-9920
Mailing Address - Fax:973-720-9921
Practice Address - Street 1:547 UNION BLVD
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2404
Practice Address - Country:US
Practice Address - Phone:973-720-9920
Practice Address - Fax:973-720-9921
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ728099Medicare ID - Type Unspecified