Provider Demographics
NPI:1588753164
Name:HOWARD TORNOPSKY DC LLC
Entity type:Organization
Organization Name:HOWARD TORNOPSKY DC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HOWARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:TORNOPSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:732-905-8787
Mailing Address - Street 1:721 W KENNEDY BLVD
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:08701-1255
Mailing Address - Country:US
Mailing Address - Phone:732-905-8787
Mailing Address - Fax:732-905-6668
Practice Address - Street 1:721 W KENNEDY BLVD
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:08701-1255
Practice Address - Country:US
Practice Address - Phone:732-905-8787
Practice Address - Fax:732-905-6668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00321800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJP403055OtherOXFORD HEALTH CARE
NJ5804046OtherG.H.I.
NJ3430006Medicaid
NJ3430006Medicaid