Organization
EMERY CHIROPRACTIC GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN JUDE EMERY D.C. (OWNER)
(201) 447-3707
Entity
Organization
Contact information
Practice address
310 N MAPLE AVE, RIDGEWOOD, NJ 07450-2609
(201) 447-3707
(201) 447-0320
Mailing address
310 N MAPLE AVE, RIDGEWOOD, NJ 07450-2609
(201) 447-3707
(201) 447-0320
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
38MC00312100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0076805
AETNA
—
01
—
607510
UNITED HEALTHCARE
—
01
—
P00022961
RAIL ROAD MEDICARE
—
01
—
P643830
OXFORD
—
Enumeration date
02/23/2011
Last updated
02/23/2011
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