Raymond Bongiovi, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00386800 Issued in NJ

Practice address

764 Jefferson Ave
Rahway, NJ 07065-2616

Phone

(732) 574-2225

Fax

(732) 574-0227

NPI assigned

Sep 13, 2006

Last updated

Jun 26, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bongiovi Chiropractic Center PA

  • Chiropractor
  • Rahway, NJ
  • NPI 1396915963
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340668800000",
    "number": "1104921527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "764 JEFFERSON AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652616",
            "telephone_number": "732-574-2225",
            "fax_number": "732-574-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "764 JEFFERSON AVE",
            "city": "RAHWAY",
            "state": "NJ",
            "postal_code": "070652616",
            "telephone_number": "732-574-2225",
            "fax_number": "732-574-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONGIOVI",
        "first_name": "RAYMOND",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00386800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Walace Bernard
• Alyssa Susan Bernstein, D.M.D
• Christine A Betros, MSW
• Ronald J Blitzer, M.D.
• Bongiovi Chiropractic Center PA
• Nakira Tatiana Boyce
• Catherine A Boyer, OTR
• Brianna M Bronaugh, RDN
• Kimberly L Bryant, DPT
• Harold Boy Picache Cacao, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.