Provider Demographics
NPI:1861555948
Name:PAPPAS CHIROPRACTIC CENTER AND ASSOCIATES L L C
Entity type:Organization
Organization Name:PAPPAS CHIROPRACTIC CENTER AND ASSOCIATES L L C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:PAPPAS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-985-3108
Mailing Address - Street 1:1120 STELTON RD
Mailing Address - Street 2:
Mailing Address - City:PISCATAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08854-5202
Mailing Address - Country:US
Mailing Address - Phone:732-985-3108
Mailing Address - Fax:732-985-1398
Practice Address - Street 1:1120 STELTON RD
Practice Address - Street 2:
Practice Address - City:PISCATAWAY
Practice Address - State:NJ
Practice Address - Zip Code:08854-5202
Practice Address - Country:US
Practice Address - Phone:732-985-3108
Practice Address - Fax:732-985-1398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMC03040111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ536539R6KMedicare ID - Type UnspecifiedMEDICARE
NJT45726Medicare UPIN
074220Medicare ID - Type UnspecifiedPROVIDER ID