DR. STEPHEN GEORGE DEROSA JR. (NPI# 1174153795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174153795 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN GEORGE DEROSA JR. |
| Credential | DC, ATC |
| Practice Address |
345 Main St Madison NJ 07940-2339 |
| Mailing Address |
19 Lathrop Ave Fl 2 Madison NJ 07940-2412 |
| Practice Telephone | 9733776700 |
| Mailing Telephone | 9733039322 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00768400 | NJ | Chiropractic Providers |
| Street Address |
345 MAIN ST |
| City | MADISON |
| State | NJ |
| Zip Code | 07940-2339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982255162 | Jessica Ray | Nurse Practitioner | 345 Main St, Madison, NJ 07940-2339 | 2019-09-27 |
| 1356854822 | Alyssa Michelle Matrisciano | Physical Therapist | 345 Main St, Madison, NJ 07940-2339 | 2017-11-07 |
| 1417352998 | Joseph Li | Chiropractor | 345 Main St, Madison, NJ 07940-2339 | 2014-10-27 |
| 1407256704 | Caitlin Coriddi | Physical Therapist | 345 Main St, Madison, NJ 07940-2339 | 2014-08-25 |
| 1215145495 | Lisa Ann Ospina | Physician Assistant | 345 Main St, Madison, NJ 07940-2339 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003457441 | Madison Dentistry LLC | Dentist | 268 Main Street, Suite B, Madison, NJ 07940 | 2019-10-07 |
| 1497311294 | Brenda Sue Stepak | Psychologist | 4 Giralda Farms, Madison, NJ 07940 | 2019-05-16 |
| 1578919825 | Michelle Solino | Counselor | 135 Green Ave, Madison, NJ 07940 | 2016-05-05 |
| 1225400328 | Alexis Rahman | Nurse Practitioner | 5 Giralda Farms, Madison, NJ 07940 | 2015-10-28 |
| 1417208315 | Jared D Cooper | Physical Therapist | 20 Cook Plaza, Madison, NJ 07940 | 2012-10-02 |
| 1366779548 | Joanna M Smith | Social Worker | 57 Kings Road, Madison, NJ 07940 | 2009-11-10 |
| 1235377920 | Jenifer Harris Stein | Dietitian, Registered | 22 Keep Street, Madison, NJ 07940 | 2009-02-03 |
| 1629261763 | Professional Physical Therapy & Training, LLC | Clinic/Center | 111 Kings Road, Madison, NJ 07940 | 2007-08-22 |
| 1275757122 | Grace Counseling Center | Counselor | 16 Madison Avenue, Madison, NJ 07940 | 2007-04-12 |
| 1184742033 | Gloria T Paknis | Social Worker | 37 Kings Road, Madison, NJ 07940 | 2007-03-27 |
| Find all providers in zip 07940 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013543198 | Logan Georgeson | Chiropractor | 132 Alton Dr, Madison, WI 53718-9156 | 2020-03-20 |
| 1710527965 | Stephen Grooms | Chiropractor | 8103 Highway 72 W Ste E, Madison, AL 35758-9529 | 2020-01-15 |
| 1194365239 | Jacob Riley Calder | Chiropractor | 71 Bradley Rd Unit 5, Madison, CT 06443-2662 | 2020-01-07 |
| 1962041061 | Kendyl Rose Greimann | Chiropractor | 2639 University Ave # 200, Madison, WI 53705-3750 | 2020-01-06 |
| 1265074306 | Austin Tray Klute | Chiropractor | 6075 Gemini Dr Ste 101, Madison, WI 53718-3013 | 2019-10-10 |
| 1245871573 | Jennifer Humphrey | Chiropractor | 5609 Medical Cir Ste 2, Madison, WI 53719-1228 | 2019-10-08 |
| 1720540164 | Apex Chiropractic Center LLC | Chiropractor | 562 Junction Road, Madison, WI 53717 | 2019-04-04 |
| 1669946836 | Timothy Grayson Ernst | Chiropractor | 135 Main St Ste 101, Madison, NJ 07940-2165 | 2019-01-21 |
| 1982196630 | Thrive Chiropractic LLC | Chiropractor | 637 E Washington Ave, Madison, WI 53703-2909 | 2018-05-30 |
| 1669989299 | Joseph Kevin Kelbel | Chiropractor | 6138 Mineral Point Rd, Madison, WI 53705-4458 | 2018-01-04 |
| Find all providers in MADISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.