MEDICARE: DR. JOHN R DE COTIIS 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	38MC00636000	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001811403	OTHER	NJ	IBX PPO
2	7466688	OTHER	NJ	AETNA
3	2646509000	OTHER	NJ	AMERIHEALTH
4	2646509000	OTHER	NJ	IBX HMO

General Provider Information

NPI Number	:	1578506986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN R DE COTIIS D.C.

Provider Business Mailing Address
First Line	:	PO BOX 210
Second Line	:
City	:	PITMAN
State	:	NJ
Zip	:	08071-0210
Country	:	US
Telephone Number	:	856-218-1330
Fax Number	:	856-218-1332

Provider Business Practice Location Address
First Line	:	30 W HOLLY AVE
Second Line	:
City	:	PITMAN
State	:	NJ
Zip	:	08071-1405
Country	:	US
Telephone Number	:	856-218-1330
Fax Number	:	856-218-1332

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	05/18/2010

Similar Medicare Providers

1700107778 — DECOTIIS CHIROPRACTIC WELLNESS, LLC
Practice Location Address:

30 W HOLLY AVE
PITMAN, NJ
08071-1405

Practice Phone: 856-218-1330
Practice Fax: 856-218-1332

1497754097 — CARMEL M ODONNELL M.D.
Practice Location Address:

410 N BROADWAY , SUITE 1
PITMAN, NJ
08071-1047

Practice Phone: 856-589-3708
Practice Fax: 856-589-2662

1932177987 — DR. MARK CHRISTOPHER COX PHD
Practice Location Address:

1043-B N MAIN ST
PITMAN, NJ
08071

Practice Phone: 856-582-0052
Practice Fax: 856-582-1502

1306884515 — DR. WILLIAM FREDERICK BRENNAN D.O.
Practice Location Address:

410 N BROADWAY , STE 1
PITMAN, NJ
08071-1047

Practice Phone: 856-589-3708
Practice Fax:

1790727196 — PITMAN PHARMACY INC
Practice Location Address:

39 S BROADWAY
PITMAN, NJ
08071-1413

Practice Phone: 856-589-2392
Practice Fax: 856-589-5206

1225044209 — MR. JEFFREY S CRISPIN PT
Practice Location Address:

8 N BROADWAY , SUITE 1 HEARTLAND REHABILITATION SERVICES OF NJ INC
PITMAN, NJ
08071

Practice Phone: 856-256-9800
Practice Fax: 856-218-0358

Directions to “ DR. JOHN R DE COTIIS D.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.