MEDICARE: NORTHERN NEW JERSEY CHIROPRACTIC ASSOCIATES, PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1295945418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN NEW JERSEY CHIROPRACTIC ASSOCIATES, PA

Provider Business Mailing Address
First Line	:	625 BROADWAY
Second Line	:	SUITE #4
City	:	PATERSON
State	:	NJ
Zip	:	07514-1917
Country	:	US
Telephone Number	:	973-742-1990
Fax Number	:	973-742-6909

Provider Business Practice Location Address
First Line	:	625 BROADWAY
Second Line	:	SUITE #4
City	:	PATERSON
State	:	NJ
Zip	:	07514-1917
Country	:	US
Telephone Number	:	973-742-1990
Fax Number	:	973-742-6909

Authorized Official
Title or Position	:	PARTNER
Name	:	DR. ALBERT A. ROMANO
Credential	:	D.C.
Telephone Number	:	973-742-1990

Provider Enumeration Date	:	05/23/2007
Last Update Date	:	08/22/2020

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