Healthcare Provider Details

I. General information

NPI: 1962004903
Provider Name (Legal Business Name): HEALING ARTS OF NEW JERSEY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2020
Last Update Date: 11/13/2020
Certification Date: 11/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 CENTRAL AVE STE 311
EAST ORANGE NJ
07018-3318
US

IV. Provider business mailing address

230 CENTENNIAL AVE # 2
CRANFORD NJ
07016-3137
US

V. Phone/Fax

Practice location:
  • Phone: 973-303-1392
  • Fax:
Mailing address:
  • Phone: 973-303-1392
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: HOPE HOLMES
Title or Position: PRACTICE MANAGER
Credential:
Phone: 973-303-1392