Hawthorne Sports and Spine

Primary specialty

SpecialistTaxonomy code 174400000X

License

38MC00452800 Issued in NJ

Legal business name

HAWTHORNE SPORTS AND SPINE

Practice address

219 Lafayette Ave
Hawthorne, NJ 07506-1904

Phone

(973) 423-9100

Fax

(973) 423-1339

NPI assigned

Feb 10, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Peter J Berger, DC

Title

Chiropractic Doctor/Manager

Phone

(973) 423-9100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1328832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1285907089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061904",
            "telephone_number": "973-423-9100",
            "fax_number": "973-423-1339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 LAFAYETTE AVE",
            "city": "HAWTHORNE",
            "state": "NJ",
            "postal_code": "075061904",
            "telephone_number": "973-423-9100",
            "fax_number": "973-423-1339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE SPORTS AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-10",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIROPRACTIC DOCTOR/MANAGER",
        "authorized_official_telephone_number": "973-423-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "38MC00452800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hawthorne Family Practice
• Hawthorne Integrated Medicine, LLC
• Hawthorne Pain & Spine Center
• Hawthorne Pediatric Therapy, LLC
• Hawthorne Pediatrics, LLC
• Dana Heinold, M.S., CCC-SLP
• Erika Hernandez
• Stephanie Sharon Hernandez, LCSW
• Heather Hill, PT
• Magdalena Elena Horta

• Specialist in Hawthorne, NJ
• Providers in Hawthorne, NJ by specialty
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.