Healthcare Provider Details

I. General information

NPI: 1265205348
Provider Name (Legal Business Name): NESHENIE RODRIGUEZ ARCE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2023
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 FREEWAY DR E
EAST ORANGE NJ
07018-3837
US

IV. Provider business mailing address

200 FREEWAY DR E
EAST ORANGE NJ
07018-3837
US

V. Phone/Fax

Practice location:
  • Phone: 973-266-7860
  • Fax:
Mailing address:
  • Phone: 973-266-7860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00800700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: