Ms Manola Tejada, DC | |
319 Barrow St Suite 1a, Jersey City, NJ 07302-3579 | |
(201) 433-2096 | |
Not Available |
Full Name | Ms Manola Tejada |
---|---|
Gender | Female |
Speciality | Chiropractic |
Experience | 35 Years |
Location | 319 Barrow St Suite 1a, Jersey City, New Jersey |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558459727 | NPI | - | NPPES |
1926802 | Medicaid | NJ | |
01000765100 | Other | NJ | AMERICHOICE |
58088600 | Other | NJ | GHI NUMBER |
UNITED HEALTH CARE | Other | NJ | 869870 |
36513 | Other | NJ | 36513 |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 38MC00394800 (New Jersey) | Primary |
111N00000X | Chiropractor | X006138-1 (New York) | Secondary |
111N00000X | Chiropractor | 1388 (South Carolina) | Secondary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Amazing Touch Rehabilitation And Wellness Center Pc | 0749222768 | 3 |
Provider Name | Amazing Touch Rehabilitation & Wellness Center Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1447389564 PECOS PAC ID: 0749222768 Enrollment ID: O20050531000615 |
Mailing Address | Practice Location Address |
---|---|
Ms Manola Tejada, DC 319 Barrow St Suite 1a, Jersey City, NJ 07302-3579 Ph: (201) 433-2096 | Ms Manola Tejada, DC 319 Barrow St Suite 1a, Jersey City, NJ 07302-3579 Ph: (201) 433-2096 |
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