Healthcare Provider Details

I. General information

NPI: 1124322615
Provider Name (Legal Business Name): ESTHER RUTH STARR D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2010
Last Update Date: 01/31/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 ROBIN RD. PARAMUS MEDICAL AND REHABILITATION CENTER SUITE 118
PARAMUS NJ
07652-3904
US

IV. Provider business mailing address

642 KENNEDY DR
TOWNSHIP OF WASHINGTON NJ
07676-4103
US

V. Phone/Fax

Practice location:
  • Phone: 201-225-1511
  • Fax: 201-225-9731
Mailing address:
  • Phone: 201-666-0565
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number38MC00228600
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number3389
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: