River Vale Chiropractic Center P. a.
Organization Active NPI Chiropractor · Rivervale, NJ
NPI 1124215355 · NPPES record last updated Oct 2, 2007
Key facts
- NPI
- 1124215355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- RIVER VALE CHIROPRACTIC CENTER P. A.
- Practice address
- 674 Westwood Ave
Rivervale, NJ 07675-6307 - Phone
- (201) 666-5300
- Fax
- (201) 666-4951
- NPI assigned
- Oct 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles Scott Berg, D.C.
- Title
- Owner
- Phone
- (201) 666-5300
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071127000700 | NJ | Part B Supplier - Clinic/Group Practice | 5698864718 |
Receives reassigned benefits from 1 practitioner Practice locations: River Vale, NJ |
National Provider Directory
Locations
674 Westwood Ave
River Vale, NJ 07675
Phone (201) 666-5300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
674 Westwood Ave
Rivervale, NJ 07675-6307
Mailing address
674 Westwood Ave
Rivervale, NJ 07675-6307
Phone (201) 666-5300
Other providers in Rivervale, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2007. 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.