Provider Demographics
NPI:1831251099
Name:SCHWARTZ CHIROPRACTIC CENTER P.A.
Entity type:Organization
Organization Name:SCHWARTZ CHIROPRACTIC CENTER P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:IRA
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-446-7400
Mailing Address - Street 1:225 GORDONS CORNER RD
Mailing Address - Street 2:STE.2F
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-3356
Mailing Address - Country:US
Mailing Address - Phone:732-446-7400
Mailing Address - Fax:732-446-6119
Practice Address - Street 1:225 GORDONS CORNER RD
Practice Address - Street 2:STE.2F
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-3356
Practice Address - Country:US
Practice Address - Phone:732-446-7400
Practice Address - Fax:732-446-6119
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-14
Last Update Date:2008-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00228200111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ520351Medicare PIN
NJT45670Medicare UPIN