Recharge Chiropractic and Sports Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

RECHARGE CHIROPRACTIC AND SPORTS REHAB LLC

Practice address

55 US Highway 202
Far Hills, NJ 07931-2445

Phone

(908) 956-3984

NPI assigned

Feb 27, 2023

Organization subpart

No

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

Authorized official

Name

Michael Dispenziere, DCNPI 1275157729

Title

Co-Owner/Chiropractor

Phone

(908) 956-3984

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Michael Dispenziere Jr., DC

  • Chiropractor
  • Far Hills, NJ
  • NPI 1275157729
  Medicare reassignment Care Compare group NPD Authorized official
• Slade Scott Eigenmann

  • Chiropractor
  • Berkeley Heights, NJ
  • NPI 1689264632
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1677456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1447959622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 US HIGHWAY 202",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079312445",
            "telephone_number": "908-956-3984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 US HIGHWAY 202",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "079312445",
            "telephone_number": "908-956-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECHARGE CHIROPRACTIC AND SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "DISPENZIERE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "908-956-3984",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1275157729",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1689264632",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peaceful Dawn Therapy
• Ellen Petrosino, RDN
• Jeanne Petrucci, MS, RDN
• Jeffrey Witter Pike, DMD
• Dena Puorro, RD
• Emilia Rose Sochovka, MS, RDN, CPT
• Debra L. Sutton, NURSE PRACTITIONER
• Patricia Taveras, LCSW, LCADC
• United Clinical Group NJ
• Martin Bruce Wax, MD

• Chiropractor in Far Hills, NJ
• Providers in Far Hills, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.