Provider Demographics
NPI:1952406928
Name:MARKOWITZ, ROSS M
Entity Type:Individual
Prefix:
First Name:ROSS
Middle Name:M
Last Name:MARKOWITZ
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 1:32 WASHINGTON AVE
Mailing Address - Street 2:SUITE 2A
Mailing Address - City:TENAFLY
Mailing Address - State:NJ
Mailing Address - Zip Code:07670-2028
Mailing Address - Country:US
Mailing Address - Phone:201-568-5711
Mailing Address - Fax:201-568-5722
Practice Address - Street 1:32 WASHINGTON AVE
Practice Address - Street 2:SUITE 2A
Practice Address - City:TENAFLY
Practice Address - State:NJ
Practice Address - Zip Code:07670-2028
Practice Address - Country:US
Practice Address - Phone:201-568-5711
Practice Address - Fax:201-568-5722
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00604300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU99216Medicare UPIN
NJ105336Medicare PIN