Provider Demographics
NPI:1174719744
Name:HOBOKEN INTEGRATED HEALTH CARE LLC
Entity type:Organization
Organization Name:HOBOKEN INTEGRATED HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:T
Authorized Official - Last Name:CANOVA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-798-2922
Mailing Address - Street 1:10 PINE ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-4167
Mailing Address - Country:US
Mailing Address - Phone:973-809-0692
Mailing Address - Fax:973-090-6728
Practice Address - Street 1:10 PINE ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4167
Practice Address - Country:US
Practice Address - Phone:973-809-0672
Practice Address - Fax:973-809-0672
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00710000225100000X, 225100000X
NJ38MC00326300111N00000X, 111N00000X
NJ40QA01156000225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty