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Organization
BAYSIDE MEDICAL AND REHABILITATION CENTER PC
Active
Organization
BAYSIDE MEDICAL AND REHABILITATION CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYA R DASIKA M.D. (PRESIDENT)
(201) 823-0303
Entity
Organization
Contact information
Practice address
1160 KENNEDY BLVD, BAYONNE, NJ 07002-3128
(201) 823-0303
(201) 436-6180
Mailing address
1160 KENNEDY BLVD, BAYONNE, NJ 07002-3128
(201) 823-0303
(201) 436-6180
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
38MC00232600
NJ
111N00000X
Chiropractor
Primary
38MC00234100
NJ
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
25MA03289800
NJ
Other
Enumeration date
08/04/2006
Last updated
09/11/2025
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