Bergen Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00622000 Issued in NJ

Legal business name

BERGEN CHIROPRACTIC, LLC

Practice address

3540 John F Kennedy Blvd
Jersey City, NJ 07307-3450

Phone

(201) 333-2221

NPI assigned

Mar 18, 2009

Last updated

Sep 22, 2009By 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 Thomas Capra, DC

Title

Member

Phone

(201) 333-2221

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1790926913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 JUNIPER ST",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076281314",
            "telephone_number": "201-333-2221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 JOHN F KENNEDY BLVD",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073450",
            "telephone_number": "201-333-2221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "CAPRA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "201-333-2221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00622000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy Kristine Agapito Benito
• Christopher Bennett, NP-C
• Cheryl M. Benz, NP
• Michael Benz, M.D.
• Bergen Ave Drugs, Inc
• Bergen Eye Care Clinic Limited Liabilty Company
• Bergen Hudson ENT LLC
• Bergen Neurology and Pain Management PA
• Bergen Road Pharmacy
• Rachel Berger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.