Provider Demographics
NPI:1053614875
Name:HEALTHY FUNCTIONS
Entity type:Organization
Organization Name:HEALTHY FUNCTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:JARMON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:732-685-5072
Mailing Address - Street 1:318 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING LAKE
Mailing Address - State:NJ
Mailing Address - Zip Code:07762-1432
Mailing Address - Country:US
Mailing Address - Phone:732-685-5072
Mailing Address - Fax:
Practice Address - Street 1:318 WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:SPRING LAKE
Practice Address - State:NJ
Practice Address - Zip Code:07762-1432
Practice Address - Country:US
Practice Address - Phone:732-685-5072
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies