Active NPI
Maribel Contreras, D.C.
- Chiropractor
- North Bergen, NJ
National Provider Identifier
1053436519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00564800
- Practice address
- 6307 Kennedy Blvd
North Bergen, NJ 07047-3420 - Phone
- (201) 453-2211
- Fax
- (201) 453-2212
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00564800 | NJ | Primary |
Addresses
Primary practice location
6307 Kennedy Blvd
North Bergen, NJ 07047-3420
Mailing address
6307 Kennedy Blvd
North Bergen, NJ 07047-3420
Phone (201) 453-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8413401 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00564800 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053436519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6307 KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070473420",
"telephone_number": "201-453-2211",
"fax_number": "201-453-2212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6307 KENNEDY BLVD",
"city": "NORTH BERGEN",
"state": "NJ",
"postal_code": "070473420",
"telephone_number": "201-453-2211",
"fax_number": "201-453-2212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTRERAS",
"first_name": "MARIBEL",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00564800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8413401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Bergen, NJ
- Marissa Shannon Cohen, M.D.
- Complete Care at Harborage LLC
- Complete Care at Harborage LLC
- Comprehensive Endocrine Care Diabetes Hormones and Metabolism (Comprehensive Endocrine Care)
- Humberto Jose Conde, MD
- Elizabeth Coraggio, MD
- Alvaro J Correa Reina, DMD
- Corrective Care Experts
- Ingrid Antonieta Corredo-Sarabia, MD
- Matthew Kenneth Corvin, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.