# FERGUSON LIFE HEALTH CENTERS OF NEW JERSEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578065728
- **Authorized official:** DEREK D FERGUSON (OWNER)
- **Authorized official phone:** (201) 716-9199

## Contact information

- **Practice address:** 375 ROUTE 10, WHIPPANY, NJ 07981-2115
- **Practice address phone:** (973) 210-3838
- **Practice address fax:** (973) 947-7009
- **Mailing address:** 375 ROUTE 10, WHIPPANY, NJ 07981-2115
- **Mailing address phone:** (973) 210-3838
- **Mailing address fax:** (973) 947-7009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 111NR0400X | Rehabilitation Chiropractor | — | NULL | — |
| 111NR0400X | Rehabilitation Chiropractor | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | NULL | Yes |
| 2081P2900X | Pain Medicine (Physical Medicine & Rehabilitation) Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 03/05/2018
- **Last updated:** 09/10/2021