Russell Brokstein

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00573400 Issued in NJ

Legal business name

RUSSELL BROKSTEIN

Doing business as

Hometown Family Wellness Center

Practice address

9 Broadway
Freehold, NJ 07728-1805

Phone

(732) 780-0044

Fax

(732) 780-3671

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Russell Brokstein, D.C.NPI 1841224995

Title

Owner

Phone

(732) 780-0044

Specialties & licenses 1

Addresses

Other names 1

• Hometown Family Wellness Center Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Russell Brokstein, D.C.

  • Chiropractor
  • Freehold, NJ
  • NPI 1841224995
  NPD (past) Authorized official
• Richard L Allen, D.C.

  • Chiropractor
  • Manalapan, NJ
  • NPI 1205983715
  NPD (past)

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1841235330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 BROADWAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281805",
            "telephone_number": "732-780-0044",
            "fax_number": "732-780-3671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 BROADWAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281805",
            "telephone_number": "732-780-0044",
            "fax_number": "732-780-3671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSSELL BROKSTEIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "BROKSTEIN",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-780-0044",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00573400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hometown Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jenna Ruditsky, LPC
• Gina Rudolph, PSY.D.
• Mary Elizabeth Rufino, MD
• Brittani Ruggiero, LPC
• Sharon J Rukin, LCSW
• Christopher Russo, D.C.
• Francesca Russo
• Tyler J Russo, DC
• RX Prime Inc (Provision Pharmacy)
• Ryan Fields Total Health and Wellness LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.