Provider Demographics
NPI:1396984134
Name:SCHEICK, JENNIFER THERESA (MD)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:THERESA
Last Name:SCHEICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1933 STATE ROUTE 35
Mailing Address - Street 2:SUITE 105-286
Mailing Address - City:WALL TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:07719-3502
Mailing Address - Country:US
Mailing Address - Phone:609-992-6414
Mailing Address - Fax:
Practice Address - Street 1:1933 STATE ROUTE 35
Practice Address - Street 2:SUITE 105-286
Practice Address - City:WALL TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07719-3502
Practice Address - Country:US
Practice Address - Phone:609-992-6414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-18
Last Update Date:2015-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08522400208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation