Bergen Spine Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00653900 Issued in NJ

Legal business name

BERGEN SPINE CENTER, LLC

Practice address

323 Bergen Boulevard
Fairview, NJ 07022-1334

Phone

(201) 945-9993

Fax

(201) 945-8873

NPI assigned

Apr 20, 2007

Last updated

Aug 22, 2020By 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. Joseph Stephan, D.O.

Title

Doctor of Chiropractic

Phone

(201) 945-9993

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750509402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 BERGEN BOULEVARD",
            "city": "FAIRVIEW",
            "state": "NJ",
            "postal_code": "070221334",
            "telephone_number": "201-945-9993",
            "fax_number": "201-945-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 BERGEN BOULEVARD",
            "city": "FAIRVIEW",
            "state": "NJ",
            "postal_code": "070221334",
            "telephone_number": "201-945-9993",
            "fax_number": "201-945-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN SPINE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEPHAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "201-945-9993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00653900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Arber, DC
• Mohammed Ateeli
• Pilar Ayarza, DDS
• Agnes Balogh, MD
• Bergen Physical & Vein Medicine LLC
• David Berk
• Bio-Medical Applications of New Jersey, Inc. (Fresenius Medical Care Fairview)
• Luca Bonomo
• Borough of Fairview
• Brian M. Wraith, Doctor of Chiropractic, P.C.

• 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 Aug 22, 2020; 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.