| Pilot Mcdermott Inc | |
|
561 River Rd, Fair Haven, NJ 07704 | |
| (732) 741-8668 | |
| (732) 842-2128 |
| Full Name | Pilot Mcdermott Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 561 River Rd, Fair Haven, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336344365 | NPI | - | NPPES |
| 0042765 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | MC03684 (New Jersey) | Primary |
| 111N00000X | Chiropractor | MC03327 (New Jersey) | Secondary |
| Provider Name | Gregory P Mcdermott |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1831211499 PECOS PAC ID: 0648239491 Enrollment ID: I20041007000105 |
| Mailing Address | Practice Location Address |
|---|---|
| Pilot Mcdermott Inc 561 River Rd, Fair Haven, NJ 07704 Ph: (732) 741-8668 | Pilot Mcdermott Inc 561 River Rd, Fair Haven, NJ 07704 Ph: (732) 741-8668 |
Dr. Brian Edward Lawless, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 654 River Rd, Fair Haven, NJ 07704 Phone: 732-842-7910 Fax: 732-842-7810 | |
Kathleen Pilot, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 561 River Rd, Fair Haven, NJ 07704 Phone: 732-741-8668 Fax: 732-842-2128 | |
Brian E. Lawless D.c.,p.c. Chiropractor Medicare: Medicare Enrolled Practice Location: 654 River Rd, Fair Haven, NJ 07704 Phone: 732-842-7910 Fax: 732-842-7810 | |
Gregory Paul Mcdermott, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 561 River Rd, Fair Haven, NJ 07704 Phone: 732-741-8668 Fax: 732-842-2128 |