Healthcare Provider Details

I. General information

NPI: 1679481725
Provider Name (Legal Business Name): DEC CHIROPRACTIC CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

776 SHREWSBURY AVE STE 206
TINTON FALLS NJ
07724-3006
US

IV. Provider business mailing address

776 SHREWSBURY AVE STE 206
TINTON FALLS NJ
07724-3006
US

V. Phone/Fax

Practice location:
  • Phone: 201-403-5228
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: MR. THEODORE GEORGE DEC JR.
Title or Position: CHIROPRACTOR
Credential:
Phone: 201-403-5228