Evergreen Spine & Rehabilitation Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00451300 Issued in NJ

Legal business name

EVERGREEN SPINE & REHABILITATION CENTER, LLC

Practice address

134 Evergreen PL Ste 501
East Orange, NJ 07018-2010

Phone

(973) 678-7833

Fax

(973) 678-7839

NPI assigned

Apr 25, 2018

Last updated

Apr 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stephen Berger, DCNPI 1861696106

Title

Owner

Phone

(973) 678-7833

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephen L. Berger, D.C.

  • Rehabilitation Chiropractor
  • East Orange, NJ
  • NPI 1861696106
  Authorized official Same address or phone

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524614400000",
    "number": "1649768748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL STE 501",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182010",
            "telephone_number": "973-678-7833",
            "fax_number": "973-678-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 EVERGREEN PL STE 501",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070182010",
            "telephone_number": "973-678-7833",
            "fax_number": "973-678-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN SPINE & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2018-04-25",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-678-7833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00451300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michel Estiverne, APN
• Eta Trans
• Euphrates Trans LLC
• Evergreen Adult Day Care, LLC (Evergreen Adult Day Care)
• Evergreen East Orange, LLC (East Orange Adult Day Health Center)
• Excellence Medical Care, PC
• Excelrehab & Healthcare Staffing
• Express Enterprise (express health)
• Expressions Behavioral Health Services
• Expressions Behavioral Health Services (Donna E Smith Consulting)

• Chiropractor in East Orange, NJ
• Providers in East Orange, 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 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.