Healthcare Provider Details

I. General information

NPI: 1841119435
Provider Name (Legal Business Name): MYA GLADYSIEWSKI DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 TIMBERWICK DR
FLEMINGTON NJ
08822-5518
US

IV. Provider business mailing address

41 TIMBERWICK DR
FLEMINGTON NJ
08822-5518
US

V. Phone/Fax

Practice location:
  • Phone: 724-525-6525
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00818500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: