Dr. Jody Lawrence Serra, DC
Chiropractor in Lebanon, NJ. Individual provider (NPI-1).
NPI number1609949593
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1609949593
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jody Lawrence Serra
- Credential
- DC
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 16, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CHIROPRACTIC
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00236400 | NJ | Yes |
Practice location
1356 Us Hwy 22 WestLebanon, NJ 08833
Phone 908-236-6353 · Fax 908-236-7038
Mailing address
1356 Us Hwy 22 WestLebanon, NJ 08833
Phone 908-236-6353 · Fax 908-236-7038
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 8 Chiropractor providers in Lebanon · All 124 providers in Lebanon
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