Healthcare Provider Details

I. General information

NPI: 1659204576
Provider Name (Legal Business Name): BACK AND NECK CENTER OF TOMS RIVER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/08/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

860 FISCHER BLVD STE 7
TOMS RIVER NJ
08753-3824
US

IV. Provider business mailing address

860 FISCHER BLVD STE 7
TOMS RIVER NJ
08753-3824
US

V. Phone/Fax

Practice location:
  • Phone: 732-522-0679
  • 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: DAMON NOONAN
Title or Position: OWNER
Credential: DC
Phone: 732-522-0679