Active NPI
Charles Joseph Bronder Jr., D.C.
- Sports Physician Chiropractor
- Englewood Cliffs, NJ
National Provider Identifier
1760689632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- License
- 3261
- Practice address
- 333 Sylvan Ave Ste 301
Englewood Cliffs, NJ 07632-2733 - Phone
- (973) 851-9188
- NPI assigned
- Jul 2, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | 3261 | NJ | Primary |
Addresses
Primary practice location
333 Sylvan Ave Ste 301
Englewood Cliffs, NJ 07632-2733
Mailing address
149 Horseneck Rd
Fairfield, NJ 07004-2306
Phone (973) 851-9188
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3261 | NJ | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mobile Sports Chiropractic, LLC | Sports Physician | Past | Accepting new patients |
| Advanced Spine & Sports Performance | Sports Physician | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Sports Physician Chiropractor
- Fairfield, NJ
- NPI 1336590652
-
- Sports Physician Chiropractor
- Fairfield, NJ
- NPI 1053741520
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1760689632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 HORSENECK RD",
"city": "FAIRFIELD",
"state": "NJ",
"postal_code": "070042306",
"telephone_number": "973-851-9188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SYLVAN AVE STE 301",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076322733",
"telephone_number": "973-851-9188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRONDER",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "",
"desc": "Chiropractor, Sports Physician",
"state": "NJ",
"license": "3261",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.