Healthcare Provider Details

I. General information

NPI: 1669644076
Provider Name (Legal Business Name): PRECISION FAMILY HEALTH, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2008
Last Update Date: 04/27/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

141 LINCOLN ST
HACKENSACK NJ
07601-2934
US

IV. Provider business mailing address

141 LINCOLN ST
HACKENSACK NJ
07601
US

V. Phone/Fax

Practice location:
  • Phone: 201-965-0534
  • Fax: 201-343-0023
Mailing address:
  • Phone: 201-965-0534
  • Fax: 201-343-0023

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number38MC00647800
License Number StateNJ

VIII. Authorized Official

Name: DR. JERRY MICHAEL MENDEZ
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 201-595-9559