Eileen Klok Bevan, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00223500 Issued in NJ

Practice address

41 Elm Street
Ste 1U
Morristown, NJ 07960-5731

Phone

(973) 984-5200

Fax

(973) 984-3020

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• New Vernon Chiropractic Center LLC

  • Chiropractor
  • New Vernon, NJ
  • NPI 1093201220
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1497978159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 ELM STREET",
            "address_2": "STE 1U",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605731",
            "telephone_number": "973-984-5200",
            "fax_number": "973-984-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ELM STREET",
            "address_2": "STE 1U",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079605731",
            "telephone_number": "973-984-5200",
            "fax_number": "973-984-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEVAN",
        "first_name": "EILEEN",
        "middle_name": "KLOK",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00223500",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0029731",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "68290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Bernard, APN
• Tymara B Berry, M.D.
• Berton Taffet, M.D., LLC
• Seema Bery, M.D.
• Patricia M Betz
• Brian D Beyerl, MD
• Rajiv Bhagat, M.D.
• Roshni Patel Bhagat, MD
• Alisha Anand Bhagwat, MD
• Meghana Bhaiya, PA-C

• Chiropractor in Morristown, NJ
• Providers in Morristown, 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 9, 2010; 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.