Provider Demographics
NPI: | 1871201327 |
---|---|
Name: | GIRGES, JOHN H |
Entity type: | Individual |
Prefix: | |
First Name: | JOHN |
Middle Name: | H |
Last Name: | GIRGES |
Suffix: | |
Gender: | M |
Credentials: | |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 8 CAPE CT |
Mailing Address - Street 2: | |
Mailing Address - City: | EAST BRUNSWICK |
Mailing Address - State: | NJ |
Mailing Address - Zip Code: | 08816-2614 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 425 JACK MARTIN BLVD |
Practice Address - Street 2: | |
Practice Address - City: | BRICK |
Practice Address - State: | NJ |
Practice Address - Zip Code: | 08724-7732 |
Practice Address - Country: | US |
Practice Address - Phone: | 732-840-2200 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2022-11-14 |
Last Update Date: | 2024-11-04 |
Deactivation Date: | 2022-11-21 |
Deactivation Code: | |
Reactivation Date: | 2024-04-03 |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 390200000X | Student, Health Care | Student in an Organized Health Care Education/Training Program | |
No | 102L00000X | Behavioral Health & Social Service Providers | Psychoanalyst | |
No | 103K00000X | Behavioral Health & Social Service Providers | Behavior Analyst | |
No | 133NN1002X | Dietary & Nutritional Service Providers | Nutritionist | Nutrition, Education |
No | 171400000X | Other Service Providers | Health & Wellness Coach | |
No | 174H00000X | Other Service Providers | Health Educator | |
No | 224Y00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Clinical Exercise Physiologist | |
No | 225500000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | |
No | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Specialist/Technologist | Athletic Trainer |
No | 226300000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Kinesiotherapist | |
No | 247000000X | Technologists, Technicians & Other Technical Service Providers | Technician, Health Information |