Healthcare Provider Details

I. General information

NPI: 1780726463
Provider Name (Legal Business Name): ASSOCIATES IN CHIROPRACTIC FAMILY HEALTH & WELLNESS CENTER, P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/12/2007
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

381 PARK ST SUITE 2A
HACKENSACK NJ
07601-4350
US

IV. Provider business mailing address

381 PARK ST SUITE 2A
HACKENSACK NJ
07601-4350
US

V. Phone/Fax

Practice location:
  • Phone: 201-342-6111
  • Fax: 201-342-9117
Mailing address:
  • Phone: 201-342-6111
  • Fax: 204-342-9117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NR0400X
TaxonomyRehabilitation Chiropractor
License Number1301
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. ALBERT STABILE JR.
Title or Position: PRES.
Credential: D.C.
Phone: 201-342-6111