Bergen Family Chiropractic

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

X008349 Issued in NY

Legal business name

BERGEN FAMILY CHIROPRACTIC

Practice address

45 N Lake Ave
Bergen, NY 14416-9528

Phone

(585) 494-2870

Fax

(585) 494-2260

NPI assigned

Jan 3, 2007

Organization subpart

No

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

Authorized official

Name

Amy Mercovich, D.C.

Title

Provider

Phone

(585) 494-2870

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124185434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N LAKE AVE",
            "address_2": "PO BOX 606",
            "city": "BERGEN",
            "state": "NY",
            "postal_code": "144169528",
            "telephone_number": "585-494-2870",
            "fax_number": "585-494-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N LAKE AVE",
            "city": "BERGEN",
            "state": "NY",
            "postal_code": "144169528",
            "telephone_number": "585-494-2870",
            "fax_number": "585-494-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN FAMILY CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MERCOVICH",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "585-494-2870",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "X008349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Louise Bapst, LMSW
• Elaine Sandra Barclay, L.AC., CNS, CDN
• Rebecca Batt, CD
• Byron-Bergen Central School District
• Dianne M. Crea-Powers, MSCCC-SLP
• Laurie Ann Defeo, LPN
• Jean Denson, DPT
• Lucy Engert-Chambry, RN

• All providers in Bergen, NY
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.