Cedar Grove Family Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00459400 Issued in NJ

Legal business name

CEDAR GROVE FAMILY CHIROPRACTIC LLC

Practice address

411 Pompton Ave
Cedar Grove, NJ 07009

Phone

(973) 239-3222

Fax

(973) 239-4644

NPI assigned

Mar 22, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John M Bomhoff, DC

Title

Owner

Phone

(973) 239-3222

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295794790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "07009",
            "telephone_number": "973-239-3222",
            "fax_number": "973-239-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 POMPTON AVE",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "07009",
            "telephone_number": "973-239-3222",
            "fax_number": "973-239-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR GROVE FAMILY CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOMHOFF",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-239-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00459400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Castelli
• Monica Castello
• Marie Cecilio
• Cedar Grove Board of Education
• Cedar Grove Family Chiropractic Center, LLC
• Cedar Grove Foot and Ankle Associates LLC
• Cedar Grove Foot and Ankle Specialists P.C.
• Cedar Grove Health LLC
• Cedar Non Medical Transportation
• Jennifer Michelle Celona, M.S., CCC-SLP

• Chiropractor in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Chiropractor in New Jersey

• 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.