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Chiropractic Care of Bedminster, P.C.

Organization Active NPI Customized Equipment (DME) · Bedminster, NJ

NPI 1851661698 · NPPES record last updated Jan 11, 2012

Key facts

NPI
1851661698
Entity type
Organization (NPI type 2)
Primary specialty
Customized Equipment (DME) 332BC3200X
License
38MC00525500 (NJ)
Legal business name
CHIROPRACTIC CARE OF BEDMINSTER, P.C.
Practice address
1 Robertson Drive
Ste 21
Bedminster, NJ 07921
Phone
(908) 234-2317
Fax
(908) 234-0975
NPI assigned
Jan 11, 2012
Organization subpart
No

Authorized official

Name
Nick Mavrostomos, D.C., CKTP
Title
Doctor/Owner
Phone
(909) 234-2317

Practitioners 1

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120118000524 NJ Part B Supplier - Clinic/Group Practice 2860669710 Receives reassigned benefits from 1 practitioner
Practice locations: Bedminster, NJ

National Provider Directory

Locations

1430 US Highway 206
Ste 260
Bedminster, NJ 07921
Phone (908) 234-2317

1 Robertson Dr
Ste 21
Bedminster, NJ 07921
Phone (908) 234-2317

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 38MC00525500 NJ Yes

Addresses

Primary practice location

1 Robertson Drive
Ste 21
Bedminster, NJ 07921

Mailing address

1 Robertson Drive
Ste 21
Bedminster, NJ 07921
Phone (908) 234-2317

Other providers in Bedminster, NJ

All providers in Bedminster, NJ · Customized Equipment (DME) in New Jersey

Sources for this page

Verify at the official NPI Registry.