Mark Anthony Brzozowski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00521800 Issued in NJ

Practice address

831 State Route 10
STR. 16
Whippany, NJ 07981-1154

Phone

(973) 884-1500

Fax

(973) 884-9656

NPI assigned

Oct 17, 2006

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

Other identifiers 1

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

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 and National Provider Directory roles.

• Whippany Chiropractic Life Center, P.C.

  • Chiropractor
  • Whippany, NJ
  • NPI 1811078918
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801977996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HAMILTON CT",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812057",
            "telephone_number": "973-884-1500",
            "fax_number": "973-884-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "831 STATE ROUTE 10",
            "address_2": "STR. 16",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079811154",
            "telephone_number": "973-884-1500",
            "fax_number": "973-884-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRZOZOWSKI",
        "first_name": "MARK",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00521800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1935347",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Edmund Benaojan
• Christina Benn, OD
• Susan Elizabeth Bennett, RPH
• BJ'S Wholesale Club Inc.
• Thomas A Boorujy, D.C.
• Bruce J Buckman, DPT
• Calotta Counseling LLC
• Jillian Calotta, LPC
• Elizabeth Cano
• Maria A Caruso

• Chiropractor in Whippany, NJ
• Providers in Whippany, NJ by specialty
• 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.