Provider Demographics
NPI:1730187246
Name:HAYES, TIMOTHY JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:JOSEPH
Last Name:HAYES
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 1:800 W MAIN ST
Mailing Address - Street 2:STE 105
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-2555
Mailing Address - Country:US
Mailing Address - Phone:732-577-9700
Mailing Address - Fax:732-577-9790
Practice Address - Street 1:800 W MAIN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-2554
Practice Address - Country:US
Practice Address - Phone:732-577-9700
Practice Address - Fax:732-577-9790
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00265700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0010287OtherGHI
NJP633703OtherOXFORD
NJ0476030OtherAETNA
NJP633703OtherOXFORD
NJT04550Medicare UPIN