Eastpointe Integrated Healthcare LLC

Organization Active NPI Chiropractor · Atlantic Highlands, NJ

NPI 1336349331 · NPPES record last updated Jan 5, 2017

Key facts

NPI
1336349331
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
Legal business name
EASTPOINTE INTEGRATED HEALTHCARE LLC
Practice address
2373 Highway 36
Atlantic Highlands, NJ 07716-2532
Phone
(732) 872-6595
NPI assigned
Jul 19, 2007
Organization subpart
No

Authorized official

Name
Dr. John J Mazzella, D.C
Title
Member
Phone
(732) 872-6595

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20071029000025 NJ Part B Supplier - Clinic/Group Practice 4284721903 Receives reassigned benefits from 17 practitioners
Practice locations: Atlantic Highlands, NJ

National Provider Directory

Locations

2397 State Route 36
Atlantic Hlds, NJ 07716
Phone (732) 872-6595

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193200000X MULTI-SPECIALTY GROUP
111N00000X Yes
Acupuncturist
Group: 193200000X MULTI-SPECIALTY GROUP
171100000X
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X

Addresses

Primary practice location

2373 Highway 36
Atlantic Highlands, NJ 07716-2532

Mailing address

2373 Hwy 36
Atlantic Highlands, NJ 07716-2560
Phone (732) 872-6595

Other providers in Atlantic Highlands, NJ

All providers in Atlantic Highlands, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.