SUSAN H PENCZAK


Address: 2041 State Route 35, Wall Township, NJ 07719-3539
Phone: 7329747022

SUSAN H PENCZAK (NPI# 1477584100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477584100
Entity Type Individual
Full Name SUSAN H PENCZAK
Credential DC
Practice Address 2041 State Route 35
Wall Township
NJ 07719-3539
Practice Telephone 7329747022
Practice Fax Number 7329747023
Mailing Telephone 7329747022
Mailing Fax Number 7329747023
Enumeration Date 2006-07-05
Last Update Date 2008-02-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 38MC00554100 NJ Chiropractic Providers

Other Provider Identifier

State Issuer Identifier Type Code
AMERIHEALTH PRACTIC HMO I 2281138000 01
AMERIHEALTH INDIV. HMO ID 2273901000 01
OXFORD P3271421 01

Office Location

Street Address 2041 STATE ROUTE 35
City WALL TOWNSHIP
State NJ
Zip Code 07719-3539

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831109719 John George Campi IIi Dentist 2041 State Route 35, Wall Township, NJ 07719-3539 2006-08-09
1679583561 Joseph Glen Campi Dentist 2041 State Route 35, Wall Township, NJ 07719-3539 2006-08-09
1013927912 All In The Family Dental Care Pa Dentist 2041 State Route 35, Wall Township, NJ 07719-3539 2006-08-09

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1023623642 Augusto Caesar Cespedes Jr. Nurse Practitioner 2621 Nj-138, Wall, NJ 07719 2020-09-10
1790306041 Johnathan Mendez Chiropractor 1985 Nj-34, Building A, Wall Township, NJ 07719 2020-04-28
1881226181 Charles Elmendorf Occupational Therapist 1825 Nj-35, Wall, NJ 07719 2020-02-05
1750929873 Scott Steinez Hyppolite Chiropractor 1985 Nj-34 Building A, Wall Township, NJ 07719 2019-12-19
1194204677 Kelly Anne Cusick Occupational Therapist 3349 Highway 138 East, Building B, Suite A, Wall Township, NJ 07719 2018-08-07
1154816395 Belmar First Aid Squad Incorporated Ambulance 414 9th Ave, Belmar, NJ 07719 2018-06-29
1396257739 Christina Marie Cognetti Occupational Therapist 3349 Nj-138, Wall, NJ 07719 2017-10-25
1023555687 Beth Nardone-troast Specialist 3100 Route 138 West, Building 3, Suite 1, Wall Township, NJ 07719 2017-01-20
1356702005 Stephanie Herenchak Occupational Therapist 2500 Ridgewood Rd., Wall, NJ 07719 2016-03-09
1598142523 Samantha L Cotler Family Medicine 1937 Route 35, Wall Township, NJ 07719 2015-04-28
Find all providers in zip 07719

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417575150 Active Release & Chiropractic Center LLC Chiropractor 3350 Hwy 138 Ste 227, Wall Township, NJ 07719-9694 2020-07-09
1790306041 Johnathan Mendez Chiropractor 1985 Nj-34, Building A, Wall Township, NJ 07719 2020-04-28
1750929873 Scott Steinez Hyppolite Chiropractor 1985 Nj-34 Building A, Wall Township, NJ 07719 2019-12-19
1487185831 Stephen E Defelice Sr. Chiropractor 1905 Geraldine Ct, Wall Township, NJ 07719-9156 2017-03-27
1770955965 Total Health Management Chiropractor 1736 Helen St, Wall Township, NJ 07719-3774 2015-10-27
1619354669 Gaetano A. Ricciardone Chiropractor 1503 Juliette Dr, Wall Township, NJ 07719-3914 2015-04-29
1467518126 Frank Fuscaldo Jr. Chiropractor 1985 State Route 34, Building A, Wall Township, NJ 07719-9100 2006-12-28
1932137361 Richard Michael Curcio Chiropractor 1924 Route 35, Suite 1, Wall Township, NJ 07719-3530 2006-06-28
1770047938 Madison Kelly Chiropractor 1985 State Route 34, Wall Township, NJ 07719-9100 2019-01-22
1376604728 Derek Andrew Van Benthuysen Chiropractor 3350 Highway 138, Ste 227, Wall Township, NJ 07719-9694 2006-12-12
Find all providers in WALL TOWNSHIP

Competitor

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City WALL TOWNSHIP
Zip Code 07719

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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