Provider Demographics
NPI:1811425374
Name:CHUMIZO, JOY D
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:D
Last Name:CHUMIZO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1150 TEANECK RD # 40
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4863
Mailing Address - Country:US
Mailing Address - Phone:201-204-9941
Mailing Address - Fax:
Practice Address - Street 1:1189 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-5856
Practice Address - Country:US
Practice Address - Phone:201-838-5772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-30
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide