Provider Demographics
NPI:1235816828
Name:TOMA, JESSICA ANN (DC)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:ANN
Last Name:TOMA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 ROUTE 31 N STE 26B
Mailing Address - Street 2:
Mailing Address - City:PENNINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08534-1600
Mailing Address - Country:US
Mailing Address - Phone:609-373-3737
Mailing Address - Fax:
Practice Address - Street 1:23 ROUTE 31 N STE 26B
Practice Address - Street 2:
Practice Address - City:PENNINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08534-1600
Practice Address - Country:US
Practice Address - Phone:609-373-3737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15572111N00000X
NJ38MC00798900111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor