Healthcare Provider Details

I. General information

NPI: 1730706037
Provider Name (Legal Business Name): BFS PERFORMANCE & REHAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2020
Last Update Date: 04/20/2023
Certification Date: 04/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 FADEM RD STE 12A
SPRINGFIELD NJ
07081-3136
US

IV. Provider business mailing address

1132 CHARLOTTE PL
RAHWAY NJ
07065-2728
US

V. Phone/Fax

Practice location:
  • Phone: 201-898-5204
  • Fax:
Mailing address:
  • Phone: 631-678-7928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. ALLISSON HEFFRON
Title or Position: CHIROPRACTOR/ACUPUNCTURE
Credential:
Phone: 201-898-5204