Provider Demographics
NPI:1548209687
Name:CARTEGNA, NICHOLAS (DC)
Entity type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:
Last Name:CARTEGNA
Suffix:
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 1:556 NEW BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-2128
Mailing Address - Country:US
Mailing Address - Phone:732-738-0110
Mailing Address - Fax:732-738-0140
Practice Address - Street 1:556 NEW BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:FORDS
Practice Address - State:NJ
Practice Address - Zip Code:08863-2128
Practice Address - Country:US
Practice Address - Phone:732-738-0110
Practice Address - Fax:732-738-0140
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00187700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ507636OtherUNITED HEALTH CARE
NJ0108079000OtherAMERIHEALTH HMO
NJP563469OtherOXFORD
NJ507636OtherUNITED HEALTH CARE
NJCA475994Medicare ID - Type Unspecified