Provider Demographics
NPI:1053340844
Name:FUREY, JOHN MICHAEL (DC)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:MICHAEL
Last Name:FUREY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 ROUTE 37 WEST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755-5038
Mailing Address - Country:US
Mailing Address - Phone:732-281-0101
Mailing Address - Fax:732-281-0021
Practice Address - Street 1:833 ROUTE 37 WEST
Practice Address - Street 2:SUITE 210
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755-5038
Practice Address - Country:US
Practice Address - Phone:732-281-0101
Practice Address - Fax:732-281-0021
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-02
Last Update Date:2013-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00515600111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0086592Medicaid
NJ023694Medicare ID - Type Unspecified
NJU73896Medicare UPIN