Provider Demographics
NPI:1730706037
Name:BFS PERFORMANCE & REHAB
Entity type:Organization
Organization Name:BFS PERFORMANCE & REHAB
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/ACUPUNCTURE
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISSON
Authorized Official - Middle Name:
Authorized Official - Last Name:HEFFRON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-898-5204
Mailing Address - Street 1:1132 CHARLOTTE PL
Mailing Address - Street 2:
Mailing Address - City:RAHWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07065-2728
Mailing Address - Country:US
Mailing Address - Phone:631-678-7928
Mailing Address - Fax:
Practice Address - Street 1:21 FADEM RD STE 12A
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-3136
Practice Address - Country:US
Practice Address - Phone:201-898-5204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty