Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Iridious Charles Hallback Jr.

Individual provider Attendant Care Provider · NPI 1023908118

Iridious Charles Hallback Jr. is an Attendant Care Provider in Ewing, New Jersey. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

3 Clermont Ave
Ewing, NJ 08618-2615
Phone: (609) 743-1912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X

Record details

NPI number1023908118
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESJuly 8, 2025
Certification dateJuly 8, 2025