Dr. Stephen G Derosa Jr., DC, ATC
Chiropractor in Madison, New Jersey
1174153795- Practice location
- 345 Main St, Madison, NJ 07940-2339
- Phone
- 973-377-6700
- Fax
- —
- Last updated
- January 23, 2020
Stephen George Derosa is a Chiropractor based in Madison, NJ. Stephen George Derosa practices in Madison, NJ and has the professional credentials of DC, ATC. The NPI Number for Stephen George Derosa is 1174153795 and holds a License No. 38MC00768400 (NJ). The current practice location address for Stephen George Derosa is 345 Main St, Madison, NJ 07940-2339 and can be reached out via phone at 973-377-6700.
Provider Profile Details
- NPI Number
- 1174153795
- Provider Name
- Stephen George Derosa
- Credential
- DC, ATC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 345 Main St, Madison, NJ 07940-2339
- Phone Number
- 973-377-6700
- Primary Taxonomy
- Chiropractor · 111N00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 23, 2020
- Last Update Date
- January 23, 2020
- Certification Date
- January 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 345 Main St
Madison, NJ 07940-2339 - City
- Madison
- State
- New Jersey
- Zip
- 07940-2339
- Phone Number
- 973-377-6700
Provider Business Mailing Address Details
- Address
- 19 Lathrop Ave Fl 2
Madison, NJ 07940-2412 - City
- Madison
- State
- NJ
- Zip
- 07940-2412
- Phone Number
- 973-303-9322
License Information
- License Number
- 38MC00768400
- License State
- NJ
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Chiropractors near Madison, NJ
View all Chiropractors in Madison →Frequently Asked Questions
What is the NPI number of Dr. Stephen G Derosa Jr., DC, ATC?
The NPI number of Dr. Stephen G Derosa Jr., DC, ATC is 1174153795. It was assigned on January 23, 2020 and is currently active in the NPPES registry.
What is the specialty of Dr. Stephen G Derosa Jr., DC, ATC?
Dr. Stephen G Derosa Jr., DC, ATC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00768400.
Where does Dr. Stephen G Derosa Jr., DC, ATC practice?
The practice location is 345 Main St, Madison, NJ 07940-2339. The office can be reached at 973-377-6700 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174153795 directly on the NPPES registry website.