Provider Demographics
NPI:1437307063
Name:NJ ASSOCIATES INC.
Entity type:Organization
Organization Name:NJ ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:JAY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:623-209-2000
Mailing Address - Street 1:20783 N 83RD AVE
Mailing Address - Street 2:STE 110
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-7429
Mailing Address - Country:US
Mailing Address - Phone:623-209-2000
Mailing Address - Fax:
Practice Address - Street 1:20783 N 83RD AVE
Practice Address - Street 2:STE 110
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85382-7429
Practice Address - Country:US
Practice Address - Phone:623-209-2000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-08
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7771111N00000X
AZ8004111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty