Provider Demographics
NPI:1881617231
Name:LAKEWOOD TOTAL CARE, P.C.
Entity type:Organization
Organization Name:LAKEWOOD TOTAL CARE, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-370-9005
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:COLTS NECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07722-0028
Mailing Address - Country:US
Mailing Address - Phone:732-332-9000
Mailing Address - Fax:732-332-9444
Practice Address - Street 1:1215 HIGHWAY 70
Practice Address - Street 2:SUITE 1002
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-5947
Practice Address - Country:US
Practice Address - Phone:732-370-9005
Practice Address - Fax:732-370-0888
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00598700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty