Paul Joseph Bambara, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04119 Issued in NJ

Practice address

347D Matawan Road
Town Square Shopping Center
Matawan, NJ 07747-3902

Phone

(732) 566-9696

Fax

(732) 566-1505

NPI assigned

Oct 11, 2006

Last updated

Apr 28, 2012By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• Ammar Bazerbashi

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  • NPI 1548488968
  Medicare reassignment NPD
• Trinity Chiropractic Care

  • Chiropractor
  • Matawan, NJ
  • NPI 1326868365
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335571200000",
    "number": "1598853558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347D MATAWAN ROAD",
            "address_2": "TOWN SQUARE SHOPPING CENTER",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473902",
            "telephone_number": "732-566-9696",
            "fax_number": "732-566-1505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "347D MATAWAN ROAD",
            "address_2": "TOWN SQUARE SHOPPING CENTER",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473902",
            "telephone_number": "732-566-9696",
            "fax_number": "732-566-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAMBARA",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2012-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04119",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Michael Aversano, MSCCC-SLP
• Ashley Kathleen Ayrer, SLP
• Saroja Bajracharya
• Alyssa Anne Baldino
• Molly Balseiro, M.S, CCC-SLP
• Leslie Banos Bautista
• Danielle Barakat, B.A.
• Michele Barasch
• Andrea V Barauskas, LCSW
• Bare Necessities Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; 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.