MEDICARE: DR. SEIICHIRO ANDO D.C., D.A.C.N.B.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NN0400X	Neurology Chiropractor	38MC00673300	NJ
2	111N00000X	Chiropractor	38MC00673300	NJ

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	165350	OTHER	MEDICARE PTAN
2	165350YQJV	OTHER	MEDICARE
3	276920YQJV	OTHER	MEDICARE

General Provider Information

NPI Number	:	1770758583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SEIICHIRO ANDO D.C., D.A.C.N.B.

Provider Business Mailing Address
First Line	:	725 RIVER RD
Second Line	:	SUITE 101
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1171
Country	:	US
Telephone Number	:	201-496-6066
Fax Number	:	201-496-6067

Provider Business Practice Location Address
First Line	:	725 RIVER RD STE 101
Second Line	:
City	:	EDGEWATER
State	:	NJ
Zip	:	07020-1149
Country	:	US
Telephone Number	:	201-496-6066
Fax Number	:	201-496-6067

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/23/2008
Last Update Date	:	10/09/2025

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Directions to “ DR. SEIICHIRO ANDO D.C., D.A.C.N.B.” Practice Location

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