CAMKALLLC (NPI# 1578896072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578896072 |
| Entity Type | Organization |
| Organization Name | CAMKALLLC |
| Practice Address |
9 Mason Ave Lincoln Park NJ 07035-1623 |
| Practice Telephone | 9736861982 |
| Mailing Telephone | 9736861982 |
| Enumeration Date | 2009-09-15 |
| Last Update Date | 2009-09-15 |
| Authorized Official Name | DR. JENNIFER N MATTIELLO EGAN (PRESIDENT/OWNER) |
| Authorized Official Telephone | 9737141846 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00469300 | NJ | Chiropractic Providers |
| Street Address |
9 MASON AVE |
| City | LINCOLN PARK |
| State | NJ |
| Zip Code | 07035-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164614277 | Jennifer Nicole Mattiello | Chiropractor | 9 Mason Ave, Lincoln Park, NJ 07035-1623 | 2007-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
| 1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
| 1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
| 1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
| Find all providers in zip 07035 | ||||
| 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 |
|---|---|---|---|---|
| 1164614277 | Jennifer Nicole Mattiello | Chiropractor | 9 Mason Ave, Lincoln Park, NJ 07035-1623 | 2007-08-13 |
| 1669499356 | Lawrence A Gralewski | Chiropractor | 2178 Fort St, Lincoln Park, MI 48146-2405 | 2006-07-17 |
| 1366410755 | Frank Kardos IIi | Chiropractor | 3583 Fort St, Lincoln Park, MI 48146 | 2006-03-10 |
| 1992793905 | Charles Matthew Gilcher | Chiropractor | 3030 Fort St, Lincoln Park, MI 48146-2428 | 2005-10-12 |
| 1801180740 | Kenneth Fessler | Chiropractor | 63 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1440 | 2011-06-08 |
| 1801083035 | Charles M. Gilcher D.c., P.C. | Chiropractor | 3030 Fort St, Lincoln Park, MI 48146-2428 | 2007-10-02 |
| 1629190723 | David Ross Tanner | Chiropractor | 212 Main St, Lincoln Park, NJ 07035-3700 | 2007-04-06 |
| 1356492995 | Robin L Roberts | Chiropractor | 2178 Fort St, Lincoln Park, MI 48146-2405 | 2007-01-12 |
| 1407933138 | David Alan Runfeldt | Chiropractor | 166 Main St, Lincoln Park, NJ 07035-3707 | 2006-11-01 |
| 1265463574 | Eddy N Fischgrund | Chiropractor | 61 Beaverbrook Rd, Suite 103, Lincoln Park, NJ 07035-1748 | 2006-07-05 |
| Find all providers in LINCOLN PARK | ||||
| City | LINCOLN PARK |
| Zip Code | 07035 |
Please comment or provide details below to improve the information on CAMKALLLC.
| 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.