Michael J Bozan DC PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00462300 Issued in NJ

Legal business name

MICHAEL J BOZAN DC PC

Practice address

237 Park Ave
East Rutherford, NJ 07073-1918

Phone

(201) 438-7474

Fax

(201) 438-8255

NPI assigned

Oct 8, 2014

Organization subpart

No

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

Authorized official

Name

Michael J Bozan, DCNPI 1528159951

Title

President/Owner

Phone

(201) 438-7474

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Bozan, DC

  • Chiropractor
  • East Rutherford, NJ
  • NPI 1528159951
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412726400000",
    "number": "1376946046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 PARK AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731918",
            "telephone_number": "201-438-7474",
            "fax_number": "201-438-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 PARK AVE",
            "city": "EAST RUTHERFORD",
            "state": "NJ",
            "postal_code": "070731918",
            "telephone_number": "201-438-7474",
            "fax_number": "201-438-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL J BOZAN DC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-08",
        "last_updated": "2014-10-08",
        "status": "A",
        "authorized_official_last_name": "BOZAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "201-438-7474",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00462300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nephra McDonald
• Med-Care of East Rutherford, Inc.
• Bernadetta Franciszka Messana, D.M.D.
• Michael Matthiew Messana, D.M.D.
• Marie-Olga Metayer-Howard
• Molar Dental LLC
• Samuel Monanez, LCADC LCSW
• Maria Gabriela Mora, LCSW
• Anesa Mursalim
• Aleksandra Agnieszka Nedza

• Chiropractor in East Rutherford, NJ
• Providers in East Rutherford, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.