1760135768 NPI number — LOUIS JOHN ALIGO III MA, LAC

Table of content: LOUIS JOHN ALIGO III MA, LAC (NPI 1760135768)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1760135768 NPI number — LOUIS JOHN ALIGO III MA, LAC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALIGO
Provider First Name:
LOUIS
Provider Middle Name:
JOHN
Provider Name Prefix Text:
Provider Name Suffix Text:
III
Provider Credential Text:
MA, LAC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1760135768
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/31/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
15 CHURCH TOWERS APT 7N
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOBOKEN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
07030
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
201-736-5444
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
610 VALLEY HEALTH PLZ
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PARAMUS
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
07652-3607
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-265-8200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/31/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101Y00000X , with the licence number:  37AC00608700 , registered in the state of NJ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)