Healthcare Provider Details

I. General information

NPI: 1114334133
Provider Name (Legal Business Name): CYNTHIA D'AMELIO D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2014
Last Update Date: 09/26/2024
Certification Date: 09/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

290 MADISON AVE STE 3A
MORRISTOWN NJ
07960-7401
US

IV. Provider business mailing address

290 MADISON AVE STE 3A
MORRISTOWN NJ
07960-7401
US

V. Phone/Fax

Practice location:
  • Phone: 973-590-2448
  • Fax: 973-590-2449
Mailing address:
  • Phone: 973-900-0238
  • Fax: 973-590-2449

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number38MC00729300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00729300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: