Healthcare Provider Details

I. General information

NPI: 1164184354
Provider Name (Legal Business Name): HAPPY JOINTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/06/2021
Last Update Date: 10/06/2021
Certification Date: 10/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

43 EAST SUSSEX AVE
SEWELL NJ
08080-0808
US

IV. Provider business mailing address

43 EAST SUSSEX AVE
SEWELL NJ
08080
US

V. Phone/Fax

Practice location:
  • Phone: 609-217-1847
  • Fax:
Mailing address:
  • Phone: 609-217-1847
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: VIREL PRAJAPATI
Title or Position: OWNER
Credential: PA-C
Phone: 609-217-1847