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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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