Provider Demographics
| NPI: | 1871201327 |
|---|---|
| Name: | GIRGES, JOHN H |
| Entity type: | Individual |
| Prefix: | |
| First Name: | JOHN |
| Middle Name: | H |
| Last Name: | GIRGES |
| Suffix: | |
| Gender: | M |
| Credentials: | |
| Other - Prefix: | |
| Other - First Name: | |
| Other - Middle Name: | |
| Other - Last Name: | |
| Other - Suffix: | |
| Other - Last Name Type: | |
| Other - Credentials: | |
| Mailing Address - Street 1: | 8 CAPE CT |
| Mailing Address - Street 2: | |
| Mailing Address - City: | EAST BRUNSWICK |
| Mailing Address - State: | NJ |
| Mailing Address - Zip Code: | 08816-2614 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 425 JACK MARTIN BLVD |
| Practice Address - Street 2: | |
| Practice Address - City: | BRICK |
| Practice Address - State: | NJ |
| Practice Address - Zip Code: | 08724-7732 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 732-840-2200 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2022-11-14 |
| Last Update Date: | 2024-11-04 |
| Deactivation Date: | 2022-11-21 |
| Deactivation Code: | |
| Reactivation Date: | 2024-04-03 |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | |
| No | 102L00000X | Behavioral Health & Social Service Providers | Psychoanalyst | |
| No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
| No | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education |
| No | 171400000X | Other Service Providers | Health & Wellness Coach | |
| No | 174H00000X | Other Service Providers | Health Educator | |
| No | 224Y00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Clinical Exercise Physiologist | |
| No | 225500000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | |
| No | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
| No | 226300000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Kinesiotherapist | |
| No | 247000000X | Technologists, Technicians & Other Technical Service Providers | Technician, Health Information |