Brian M. Wraith, Doctor of Chiropractic, P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00622800 Issued in NJ

Legal business name

BRIAN M. WRAITH, DOCTOR OF CHIROPRACTIC, P.C.

Practice address

323 Bergen Blvd
Suite 3
Fairview, NJ 07022-1334

Phone

(201) 945-2032

NPI assigned

Jun 13, 2008

Last updated

Jun 18, 2008By 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. Brian Michael Wraith, D.C.NPI 1699816538

Title

President

Phone

(201) 945-2032

Specialties & licenses 1

Addresses

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, and the practitioner matching its NPPES authorized official.

• Brian M Wraith, D.C.

  • Chiropractor
  • Fairview, NJ
  • NPI 1699816538
  Medicare reassignment Authorized official
• Yan Yusupov, P.T.

  • Physical Therapist
  • Rego Park, NY
  • NPI 1295977973
  NPD (past)

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1659531507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BERGEN BLVD",
            "address_2": "SUITE 3",
            "city": "FAIRVIEW",
            "state": "NJ",
            "postal_code": "070221334",
            "telephone_number": "201-945-2032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BERGEN BLVD",
            "address_2": "SUITE 3",
            "city": "FAIRVIEW",
            "state": "NJ",
            "postal_code": "070221334",
            "telephone_number": "201-945-2032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN M. WRAITH, DOCTOR OF CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "WRAITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-945-2032",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00622800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bergen Spine Center, LLC
• David Berk
• Bio-Medical Applications of New Jersey, Inc. (Fresenius Medical Care Fairview)
• Luca Bonomo
• Borough of Fairview
• Washington Caiche
• Natalie Callis, RN
• Xinyi Chen
• Esther O Chucaralao, LAC
• Diana Cubillos

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.