Michael Baremboym, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00568300 Issued in NJ

Practice address

57 Brant Ave
Suite 102
Clark, NJ 07066-1535

Phone

(732) 340-1006

Fax

(732) 340-1433

NPI assigned

Jun 9, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - Davenport, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Chiropractic Healthcare, LLC

  • Chiropractor
  • Clark, NJ
  • NPI 1750579405
  Medicare reassignment NPD Authorized official
• Advance Chiropractic Clinics P C

  • Health Service Clinic/Center
  • Clark, NJ
  • NPI 1194118752
  NPD (past) Authorized official

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386685428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 BRANT AVE",
            "address_2": "SUITE 102",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661535",
            "telephone_number": "732-340-1006",
            "fax_number": "732-340-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 BRANT AVE",
            "address_2": "SUITE 102",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661535",
            "telephone_number": "732-340-1006",
            "fax_number": "732-340-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAREMBOYM",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00568300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8320101",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02220042",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Q Banaga, PT
• Geronimo Banayat, M.D.
• Sneha Banker
• Erika Baque
• Asya Baraz, PHARMACIST
• Kelly Barrameda, APN, RN, AGPCNP-BC
• Jacklin Barreira
• Peter Frances Barry, D.O.
• Wendy Baum, LAC
• Jennifer Jean Bautz-Gallo, PT

• Chiropractor in Clark, NJ
• Providers in Clark, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.