MEDICARE: DR. NICHOLAS CARTEGNA D.C.

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	38MC00187700	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	507636	OTHER	NJ	UNITED HEALTH CARE
2	0108079000	OTHER	NJ	AMERIHEALTH HMO
3	P563469	OTHER	NJ	OXFORD

General Provider Information

NPI Number	:	1548209687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NICHOLAS CARTEGNA D.C.

Provider Business Mailing Address
First Line	:	556 NEW BRUNSWICK AVE
Second Line	:
City	:	FORDS
State	:	NJ
Zip	:	08863-2128
Country	:	US
Telephone Number	:	732-738-0110
Fax Number	:	732-738-0140

Provider Business Practice Location Address
First Line	:	556 NEW BRUNSWICK AVE
Second Line	:
City	:	FORDS
State	:	NJ
Zip	:	08863-2128
Country	:	US
Telephone Number	:	732-738-0110
Fax Number	:	732-738-0140

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. NICHOLAS CARTEGNA D.C.” Practice Location

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