Bergen County Chiropractic Center
Organization Active NPI Chiropractor · Dumont, NJ
NPI 1104956416 · NPPES record last updated Aug 12, 2009
Key facts
- NPI
- 1104956416
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00416900 (NJ)
- Legal business name
- BERGEN COUNTY CHIROPRACTIC CENTER
- Practice address
- 175 Washington Ave
Suite One
Dumont, NJ 07628 - Phone
- (201) 384-3300
- Fax
- (201) 384-2745
- NPI assigned
- Mar 6, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Antonio Salvatore Esposito, DC
- Title
- Chiropractic Physician
- Phone
- (201) 384-3300
Practitioners 5
-
Olakunle Akinkunle, DPT
-
John M Nagatsuka, DPT
-
Kristen Steidl, PT, MPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090715000033 | NJ | Part B Supplier - Clinic/Group Practice | 0345392866 |
Receives reassigned benefits from 3 practitioners Practice locations: Dumont, NJ |
National Provider Directory
Locations
175 Washington Ave
Ste 1
Dumont, NJ 07628
Phone (201) 384-3300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 38MC00416900 | NJ | Yes |
Addresses
Primary practice location
175 Washington Ave
Suite One
Dumont, NJ 07628
Mailing address
175 Washington Ave
Suite One
Dumont, NJ 07628
Phone (201) 384-3300
Other names
- Spinal Rehabilitation and Wellness Center
Other providers in Dumont, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.