Provider Demographics
NPI:1861599250
Name:HAYDEN, CHRISTOPHER (PT, OCS)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:HAYDEN
Suffix:
Gender:M
Credentials:PT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 NORTH CHURCH RD.
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-3204
Mailing Address - Country:US
Mailing Address - Phone:973-940-8910
Mailing Address - Fax:973-940-8918
Practice Address - Street 1:122 NORTH CHURCH RD.
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-3204
Practice Address - Country:US
Practice Address - Phone:973-940-8910
Practice Address - Fax:973-940-8918
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2012-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA006401002251X0800X
NY012703-12251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ049962Medicare ID - Type Unspecified