Chiropractic Care of Bedminster, P.C.

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

38MC00525500 Issued in 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

Last updated

Jan 11, 2012By 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

Nick Mavrostomos, D.C., CKTPNPI 1649225947

Title

Doctor/Owner

Phone

(909) 234-2317

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nick Mavrostomos, DC

  • Chiropractor
  • Bedminster, NJ
  • NPI 1649225947
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1851661698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROBERTSON DRIVE",
            "address_2": "STE 21",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "07921",
            "telephone_number": "908-234-2317",
            "fax_number": "908-234-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROBERTSON DRIVE",
            "address_2": "STE 21",
            "city": "BEDMINSTER",
            "state": "NJ",
            "postal_code": "07921",
            "telephone_number": "908-234-2317",
            "fax_number": "908-234-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC CARE OF BEDMINSTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "MAVROSTOMOS",
        "authorized_official_first_name": "NICK",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "909-234-2317",
        "authorized_official_credential": "D.C., CKTP"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NJ",
            "license": "38MC00525500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canavosio Therapy LLC
• Heather A Carberry, DPT
• Corinne L Celentano, MS, CNS
• Katheryn A Celentano, LCSW
• Peter S. Chan, M.D.
• Ariel Cifuentes, PT, DPT
• Peter J Clark, D.O.
• Jason Cross, LCSW
• Dominique D'Angelo, NBCHWC, CHES
• Danielle Malysa LCSW

• Customized Equipment (DME) in Bedminster, NJ
• Providers in Bedminster, NJ by specialty
• Customized Equipment (DME) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.