Gregory Henry Doerr, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5189 Issued in NJ

Practice address

532 Anderson Ave
Cliffside Park, NJ 07010-1721

Phone

(201) 945-4075

Fax

(201) 945-4070

NPI assigned

Sep 12, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

New York Chiropractic College, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bergen Chiropractic and Sports Rehabilitation Center, Inc.Group PAC ID 3375644560, 2 clinicians

Practice addresses (Care Compare)

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.

• Bergen Chiropractic and Sports Rehabilitation Center, Inc.

  • Sports Physician Chiropractor
  • Cliffside Park, NJ
  • NPI 1992857858
  Medicare reassignment Care Compare group NPD Authorized official
• Bergen Spine and Sports Rehabilitation Center Inc.

  • Physical Therapist
  • Cliffside Park, NJ
  • NPI 1861372781
  NPD Authorized official
• Chiropractic Healthcare Associates

  • Chiropractor
  • Ridgefield, NJ
  • NPI 1912031048

  Sports Physician

  NPD (past)

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699879676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 FOX RUN DR",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076315051",
            "telephone_number": "201-567-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-945-4075",
            "fax_number": "201-945-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOERR",
        "first_name": "GREGORY",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "5189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria D Cruz, MAPT
• David Fridman LLC (One Heart Health)
• George Naguib Dawoud, DDS
• Denta PC
• Anthony Vincent Depietro, DDS
• Don Mercado (Ernston Pulmonary Diagnostics)
• Linda Dorf, MA, CCC-SLP
• Megan Kelsey Doyle, DC, MBA
• Dr Andrew a McBain DC PC
• Dr Kenya Lazovik

• Sports Physician Chiropractor in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.