Bergen Spine Sport & Rehab LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BERGEN SPINE SPORT & REHAB LLC

Practice address

136 N Washington Ave Ste 103
Bergenfield, NJ 07621-1776

Phone

(551) 341-1608

NPI assigned

Aug 5, 2026

Organization subpart

No

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

Authorized official

Name

Dr. Michael Reilly, DC

Title

Owner/Doctor

Phone

(551) 341-1608

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1785888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1730003740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N WASHINGTON AVE STE 103",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N WASHINGTON AVE STE 103",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211776",
            "telephone_number": "551-341-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN SPINE SPORT & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "551-341-1608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel N/a Beitler
• Payam Benson, MD
• Bergen Dental Practice, P.C.
• Bergen Pediatric Center,P.C
• Bergen Spine & Rehabilitation, LLC
• Bergenfield Board of Education
• Bergenfield Dental Associates
• Bergenfield Gynecology & Wellness LLC
• Bergenfield Internal Medicine, L.L.C.
• Bergenfield Medical Arts, PA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.