Organization Active NPI

Braincore of North Bergen

  • Specialist
  • North Bergen, NJ
National Provider Identifier
1952716672
Registry record updated Jun 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
38MC00585400 Issued in NJ
Legal business name
BRAINCORE OF NORTH BERGEN
Practice address
7311 Kennedy Blvd
North Bergen, NJ 07047-4014
Phone
(201) 662-8808
Fax
(201) 662-7199
NPI assigned
Jun 23, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2014

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

Authorized official

Name
Dr. Frank T Bello, DC
Title
Ceo/Owner
Phone
(201) 662-8808

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 38MC00585400 NJ Primary

Addresses

Primary practice location

7311 Kennedy Blvd
North Bergen, NJ 07047-4014

Mailing address

7311 Kennedy Blvd
North Bergen, NJ 07047-4014
Phone (201) 662-8808

National Provider Directory

National Provider Directory
Tax ID family
Braincore of North Bergen2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403481600000",
    "number": "1952716672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7311 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474014",
            "telephone_number": "201-662-8808",
            "fax_number": "201-662-7199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7311 KENNEDY BLVD",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070474014",
            "telephone_number": "201-662-8808",
            "fax_number": "201-662-7199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAINCORE OF NORTH BERGEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-23",
        "last_updated": "2014-06-23",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "201-662-8808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "38MC00585400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Bergen, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.