Bloomingdale Chiropractic Center, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

00203800 Issued in NJ

Legal business name

BLOOMINGDALE CHIROPRACTIC CENTER, LLC

Practice address

235 Union Ave
Bloomingdale, NJ 07403-1924

Phone

(973) 492-1568

Fax

(973) 492-0279

NPI assigned

Apr 20, 2012

Last updated

Apr 20, 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

Dr. George Everett Brewster Jr., D.C.NPI 1790756120

Title

Owner/ Chiropractor

Phone

(973) 492-1568

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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.

• George Everett Brewster Jr., D.C.

  • Chiropractor
  • Bloomingdale, NJ
  • NPI 1790756120
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334880000000",
    "number": "1871850354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 UNION AVE",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074031924",
            "telephone_number": "973-492-1568",
            "fax_number": "973-492-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 UNION AVE",
            "city": "BLOOMINGDALE",
            "state": "NJ",
            "postal_code": "074031924",
            "telephone_number": "973-492-1568",
            "fax_number": "973-492-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGDALE CHIROPRACTIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-20",
        "last_updated": "2012-04-20",
        "status": "A",
        "authorized_official_last_name": "BREWSTER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "EVERETT",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "973-492-1568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "00203800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790756120",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hasan K Abdelqader
• Jennifer Adams-Barsch, LCSW
• Alpha and Omega Industries LLC (GYMGUYZ Sussex County)
• Eric William Bauer, RPH
• Bloomingdale Nursing & Rehabilitation LLC (The Health Center At Bloomingdale)
• Bloomingdale Schools
• Jessica Bohn
• Loretta Marie Bouchard
• George Everett Brewster Jr., D.C.

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

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