Healthcare Provider Details

I. General information

NPI: 1497794218
Provider Name (Legal Business Name): ANTHONY J. PANZICA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 09/05/2026
Certification Date: 09/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 DEHART AVE
HEWITT NJ
07421-2834
US

IV. Provider business mailing address

8 DEHART AVE
HEWITT NJ
07421-2834
US

V. Phone/Fax

Practice location:
  • Phone: 201-755-5730
  • Fax:
Mailing address:
  • Phone: 201-755-5613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberMC01588
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: