Organization Active NPI

Manalapan Chiropractic Center

  • Chiropractor
  • Manalapan, NJ
National Provider Identifier
1295061489
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00637000 Issued in NJ
Legal business name
MANALAPAN CHIROPRACTIC CENTER
Practice address
225 Gordons Corner Rd Ste 2F
Manalapan, NJ 07726-3342
Phone
(732) 446-7400
Fax
(732) 446-6119
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Authorized official

Name
Dr. Justin L Bergin, D.C.
Title
Owner
Phone
(732) 446-7400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00637000 NJ Primary

Addresses

Primary practice location

225 Gordons Corner Rd Ste 2F
Manalapan, NJ 07726-3342

Mailing address

225 Gordons Corner Rd Ste 2F
Manalapan, NJ 07726-3342
Phone (732) 446-7400

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1295061489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 GORDONS CORNER RD STE 2F",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263342",
            "telephone_number": "732-446-7400",
            "fax_number": "732-446-6119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 GORDONS CORNER RD STE 2F",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263342",
            "telephone_number": "732-446-7400",
            "fax_number": "732-446-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANALAPAN CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "BERGIN",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-446-7400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00637000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manalapan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.