| Organization Name: | CENTRAL JERSEY SPINE & WELLNESS L L C |
| NPI Number: | 1215123641 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERARD DEBERNARDIS (CHIROPRACTOR) |
| Mailing Address: | 4251 Route 9 N Building 3 Suite B Freehold |
| State: | NJ US |
| Postal Code: | 077288303 |
| Phone Number: | 7326831800 |
| Fax Number: | 7326831090 |
| NPI Enumeration Date: | 09/19/2007 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |