DEGEORGE CHIROPRACTIC LLC (NPI# 1578966636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578966636 |
| Entity Type | Organization |
| Organization Name | DEGEORGE CHIROPRACTIC LLC |
| Practice Address |
1600 Saint Georges Ave Ste 116 Rahway NJ 07065-2764 |
| Practice Telephone | 7324285566 |
| Practice Fax Number | 7324285513 |
| Mailing Telephone | 7324285566 |
| Mailing Fax Number | 7324285513 |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2014-10-03 |
| Authorized Official Name | DR. MICHAEL DEGEORGE (MANAGING MEMBER) |
| Authorized Official Telephone | 9083477469 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | MC04134 | NJ | Ambulatory Health Care Facilities |
| Street Address |
1600 SAINT GEORGES AVE STE 116 |
| City | RAHWAY |
| State | NJ |
| Zip Code | 07065-2764 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548247331 | Marshall Roy Feldman | Podiatrist | 1600 Saint Georges Ave, Rahway, NJ 07065-2764 | 2005-12-22 |
| 1659733848 | Sheryll Baranda Bajamundi | Physical Therapist | 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065-2764 | 2016-03-25 |
| 1932504404 | Holsman Wellness Center PC | Physical Therapist | 1600 Saint Georges Ave, Suite 118, Rahway, NJ 07065-2764 | 2014-10-27 |
| 1306269071 | Cinderella Abdullah | Physical Therapist | 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065-2764 | 2014-01-30 |
| 1477984953 | Kristina Victor Fair | Nurse Practitioner | 1600 Saint Georges Ave, Suite 202, Rahway, NJ 07065-2764 | 2013-12-09 |
| 1629410428 | Oliver Francis Rivera | Physical Therapist | 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065-2764 | 2013-07-22 |
| 1487094264 | Erika Lastra | Speech-Language Pathologist | 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065-2764 | 2013-06-26 |
| 1356780258 | Beau A Younker | Occupational Therapist | 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065-2764 | 2013-06-24 |
| 1821339102 | Karan Dilipkumar Sharma | Physical Therapist | 1600 Saint Georges Ave, Ste 107, Rahway, NJ 07065-2764 | 2013-03-11 |
| 1073857405 | Myra Dabuet-capil | Occupational Therapist | 1600 Saint Georges Ave, Suite 107, Rahway, NJ 07065-2764 | 2012-11-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672920 | Shaunelle Renaud | Durable Medical Equipment & Medical Supplies | 478 Sycamore St, Rahway, NJ 07065 | 2020-09-02 |
| 1629585658 | Feliz Leona Clemente Batoy | Physical Therapist | 492 Hamilton Street, Apt E, Rahway, NJ 07065 | 2017-12-28 |
| 1699216499 | Md Specialty Medical Center LLC | Surgery | 2005 Saint Georges Ave, Rahway, NJ 07065 | 2017-03-13 |
| 1770942849 | Pioneer Medical Group LLC | Family Medicine | 2005 St George's Ave, Rahway, NJ 07065 | 2016-02-18 |
| 1629441936 | Caringhouse Projects, Inc | Respite Care | 1083 Pierpoint Street, Rahway, NJ 07065 | 2015-11-09 |
| 1851783096 | Nagela Saint Fleur | Nurse Practitioner | 2005 St Georges Ave, Rahway, NJ 07065 | 2015-02-25 |
| 1669881777 | Rihh LLC | Pharmacy | 398 W Grand Ave, Rahway, NJ 07065 | 2014-08-04 |
| 1518387190 | Philip J Kierstedt II | Counselor | 150 East Lake Ave, Rahway, NJ 07065 | 2014-04-22 |
| 1356777213 | Kimberly L Bryant | Physical Therapist | 867saint George Ave, Unit 3, Rahway, NJ 07065 | 2013-09-23 |
| 1598032427 | Ma Socorro Bersosa Calleja | Registered Nurse | 345 Princeton Avenue, Rahway, NJ 07065 | 2011-11-21 |
| Find all providers in zip 07065 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1144860271 | Sentarus Healthcare Solutions Inc | Clinic/Center | 736 S White Horse Pike, Audubon, NJ 08106-1346 | 2020-01-07 |
| 1497303044 | Sanni Ojibara Training Academy | Clinic/Center | 104 Hillside Ter, Irvington, NJ 07111-1514 | 2019-08-27 |
| 1457907404 | Vitality Wellness Group LLC | Clinic/Center | 1000 Sanger Ave Ste 211, Oceanport, NJ 07757-1241 | 2019-08-15 |
| 1760034292 | Optimally Nourished LLC | Clinic/Center | 303 Belmont Ave Ste 2, Belleville, NJ 07109-1103 | 2019-07-15 |
| 1881246676 | Acenda, Inc. | Clinic/Center | 1129 Route 9 S, Cape May Court House, NJ 08210-2752 | 2019-07-11 |
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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.