Bergen Chiropractic and Sports Rehabilitation Center, Inc.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

5189 Issued in NJ

Legal business name

BERGEN CHIROPRACTIC AND SPORTS REHABILITATION CENTER, INC.

Practice address

532 Anderson Ave
Cliffside Park, NJ 07010-1721

Phone

(201) 945-4075

Fax

(201) 945-4070

NPI assigned

Jan 18, 2007

Last updated

Jul 12, 2007By 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. Gregory Henry Doerr, DC, CCSPNPI 1699879676

Title

President

Phone

(201) 945-4075

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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.

• Gregory Henry Doerr, DC

  • Sports Physician Chiropractor
  • Cliffside Park, NJ
  • NPI 1699879676
  Medicare reassignment Care Compare group NPD Authorized official
• Megan Kelsey Doyle, DC, MBA

  • Chiropractor
  • Cliffside Park, NJ
  • NPI 1982134128
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1992857858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-945-4075",
            "fax_number": "201-945-4070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 ANDERSON AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070101721",
            "telephone_number": "201-945-4075",
            "fax_number": "201-945-4070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERGEN CHIROPRACTIC AND SPORTS REHABILITATION CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "DOERR",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-945-4075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC, CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "5189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5899548",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard M Baruch, MD
• Elizabeth Helen Baumbach, MS, OTR
• Saeid M Bayoumi, PHARMD
• Kristin Ann Bell, R.D.
• Bergen Center for Arthritis & Rheumatology
• Bergen Enterprises Center LLC (North Jersey Recovery Center)
• Bergen Spine and Sports Rehabilitation Center Inc.
• Best Rehabilitation Services LLC
• Bloom Medical Group NJ PC
• Borough of Cliffside Park

• Sports Physician Chiropractor in Cliffside Park, NJ
• Providers in Cliffside Park, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.