PILOT MCDERMOTT INC NPI 1336344365

NPI Information

  • NPI: 1336344365
  • Provider Name: PILOT MCDERMOTT INC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 561 RIVER RD
    FAIR HAVEN, NJ
    ZIP 07704
  • Phone: (732) 741-8668

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NPI Details

PILOT MCDERMOTT INC is a chiropractor in Fair Haven, NJ. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. PILOT MCDERMOTT INC NPI is 1336344365. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

561 RIVER RD
FAIR HAVEN, NJ
ZIP 07704
Phone: (732) 741-8668
Fax: (732) 842-2128

The provider's authorized official is Gregory Paul Mcdermott .
The authorized official title is President and has the following contact phone number (732) 741-8668.

The enumeration date for this NPI number is 6/19/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1111N00000XChiropractorMC03327NEW JERSEYNo
2111N00000XChiropractorMC03684NEW JERSEYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10042765MEDICAIDNEW JERSEY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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