New Vernon Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC00223500 Issued in NJ

Legal business name

NEW VERNON CHIROPRACTIC CENTER LLC

Practice address

4 Village Road
New Vernon, NJ 07976-0009

Phone

(973) 984-5200

Fax

(973) 984-3020

NPI assigned

Jul 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Eileen Klok Bevan, DCNPI 1497978159

Title

Owner

Phone

(973) 984-5200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eileen Klok Bevan, DC

  • Chiropractor
  • Morristown, NJ
  • NPI 1497978159
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531267200000",
    "number": "1093201220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "NEW VERNON",
            "state": "NJ",
            "postal_code": "079760009",
            "telephone_number": "973-984-5200",
            "fax_number": "973-984-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VILLAGE ROAD",
            "city": "NEW VERNON",
            "state": "NJ",
            "postal_code": "079760009",
            "telephone_number": "973-984-5200",
            "fax_number": "973-984-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VERNON CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A",
        "authorized_official_last_name": "BEVAN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_middle_name": "KLOK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-984-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC00223500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amina A Ahmed, MD
• Jason Frigerio, ND, CA
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• Robert William Morrison, M.D.
• Donna O'Connor, LSW, MSW
• Poppy Pelvic Health & Wellness
• Lorne Sheren, MD
• Township of Harding

• Chiropractor in New Vernon, NJ
• Providers in New Vernon, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.