Provider Demographics
NPI:1861527822
Name:PHILIP S. ALTIERI, DC INC.
Entity type:Organization
Organization Name:PHILIP S. ALTIERI, DC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALTIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-270-4800
Mailing Address - Street 1:1501 ROUTE 37 E
Mailing Address - Street 2:UNIT H
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08753-5785
Mailing Address - Country:US
Mailing Address - Phone:732-270-4800
Mailing Address - Fax:732-270-4838
Practice Address - Street 1:1501 ROUTE 37 E
Practice Address - Street 2:UNIT H
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08753-5785
Practice Address - Country:US
Practice Address - Phone:732-270-4800
Practice Address - Fax:732-270-4838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00529100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ3363366OtherAETNA HMO
NJ5723758OtherAETNA PPO
NJD09821OtherAMERIHEALTH ADMIN. PLAN
NJ2K8930OtherHEALTHNET
NJP2512223OtherOXFORD
NJ024240SLEOtherMEDICARE UPIN NUMBER
NJ5723758OtherAETNA PPO
NJ=========OtherHORIZON BCBS TRAD PLANS
NJP2512223OtherOXFORD