Individual provider Active NPI

Lori A. Brolsma, DC

  • Chiropractor
  • Riverdale, NJ
National Provider Identifier
1124028717
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00417000 Issued in NJ
Practice address
7 Newark Pompton Tpke
Riverdale, NJ 07457-1142
Phone
(973) 831-1100
Fax
(973) 831-6622
NPI assigned
Jul 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00417000 NJ Primary

Addresses

Primary practice location

7 Newark Pompton Tpke
Riverdale, NJ 07457-1142

Mailing address

7 Newark Pompton Turnpike
Riverdale, NJ 07457
Phone (973) 831-1100

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00417000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Chiropractic & Rehabilitation Center, LLC Chiropractor PastSince Feb 1, 2002 Accepting new patients
Cornerstone Medical Procedures LLC PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124028717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NEWARK POMPTON TURNPIKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "07457",
            "telephone_number": "973-831-1100",
            "fax_number": "973-831-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571142",
            "telephone_number": "973-831-1100",
            "fax_number": "973-831-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROLSMA",
        "first_name": "LORI",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00417000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.