Provider Demographics
NPI:1013921774
Name:ROYLE, JAMES AARON JR (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:AARON
Last Name:ROYLE
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 1:255 S NEW PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-1758
Mailing Address - Country:US
Mailing Address - Phone:732-367-1099
Mailing Address - Fax:732-367-1909
Practice Address - Street 1:255 S NEW PROSPECT RD
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-1758
Practice Address - Country:US
Practice Address - Phone:732-367-1099
Practice Address - Fax:732-367-1909
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00230800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ222569797OtherHORIZON ID
NJP1622221OtherOXFORD
NJ5898750OtherGHI PROVIDER ID
NJ1544919OtherUNITED HEALTHCARE ID
NM2129947000OtherAMERIHEALTH ID
NJ2K6986OtherHEALTHNET PROVIDER ID
NJ2013606Medicaid
NJ2013606Medicaid
NJ1544919OtherUNITED HEALTHCARE ID