Provider Demographics
NPI:1215051347
Name:SCHWARTZ, JOEL E (DC)
Entity type:Individual
Prefix:
First Name:JOEL
Middle Name:E
Last Name:SCHWARTZ
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 216
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-0216
Mailing Address - Country:US
Mailing Address - Phone:908-420-2993
Mailing Address - Fax:732-723-1614
Practice Address - Street 1:365 SPOTSWOOD ENGLISHTOWN RD
Practice Address - Street 2:
Practice Address - City:MONROE TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08831-8624
Practice Address - Country:US
Practice Address - Phone:732-698-7151
Practice Address - Fax:732-698-7609
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC006994L111N00000X
NYX0085341111N00000X
NJMC05058111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ007846Medicare PIN
NJT52280Medicare UPIN