Provider Demographics
NPI:1427058247
Name:SCHLESINGER, JEFFREY (DC)
Entity type:Individual
Prefix:DR
First Name:JEFFREY
Middle Name:
Last Name:SCHLESINGER
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 1:17 SUMMIT AVE
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-1218
Mailing Address - Country:US
Mailing Address - Phone:201-488-5366
Mailing Address - Fax:201-488-0489
Practice Address - Street 1:5 SUMMIT AVE
Practice Address - Street 2:STE 101
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-1271
Practice Address - Country:US
Practice Address - Phone:201-488-5366
Practice Address - Fax:201-488-0489
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-22
Last Update Date:2016-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00333600111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJT89649Medicare UPIN
NJ582966Medicare ID - Type Unspecified