Kevin Jude Emery in Ridgewood - Sports Physician
Kevin Jude Emery - NPI 1649341942
Kevin Jude Emery is a Sports Physician in Ridgewood, New Jersey. Kevin Jude Emery practices all healthcare services and medical treatments related to Sports Physician. The NPI Number for Kevin Jude Emery is 1649341942. The last update date is 2007-07-08.
Kevin Jude Emery's current location address is 310 N Maple Ave, Ridgewood, New Jersey. You can contact this provider via phone number 2014473707 and fax number 2014470320. The mailing address for Kevin Jude Emery is 310 N Maple Ave, Ridgewood, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Jude Emery |
|---|---|
| Address | 310 N Maple Ave, Ridgewood, New Jersey |
| Phone Number | 2014473707 |
| Fax Number | 2014470320 |
| Sole Proprietor | Y |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1649341942 |
|---|---|
| Provider Enumeration Date | 2006-11-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 310 N Maple Ave |
|---|---|
| City | Ridgewood |
| State | New Jersey (NJ) |
| Post Code | 74502609 |
| Phone Number | 2014473707 |
| Fax Number | 2014470320 |
Provider's Primary Taxonomy Detail
| Speciality | Sports Physician |
|---|---|
| Taxonomy | 111Ns0005X |
| Licence No | 38MC00312100 |
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Definition: A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 76805 | NJ | AETNA PROVIDER IDENTIFICA | |
| 222854051 | NJ | TAX IDENTIFICATION NUMBER | |
| P643830 | NJ | OXFORD PROVIDER NUMBER | |
| 607510 | NJ | UNITED HEALTHCARE PROVIDE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Kevin Jude Emery by the Centers for Medicare & Medicaid Services?
The Kevin Jude Emery has been assigned the NPI (National Provider Identifier) 1649341942 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Kevin Jude Emery is physically located?
The Kevin Jude Emery is situated at the following address: 310 N Maple Ave, Ridgewood, NJ 74502609.
What is Kevin Jude Emery's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kevin Jude Emery's specialized field of practice is Sports Physician, and the corresponding taxonomy code that categorizes this area of specialization is 111Ns0005X.
On what date did Kevin Jude Emery receive its 1649341942 assignment from the Centers for Medicare & Medicaid Services?
The Kevin Jude Emery was assigned its 1649341942 on 2006-11-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Kevin Jude Emery, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Kevin Jude Emery, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1528061793
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