BERGEN SPINE AND SPORT, LLC (NPI# 1225507643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225507643 |
| Entity Type | Organization |
| Organization Name | BERGEN SPINE AND SPORT, LLC |
| Practice Address |
10 Wilsey Sq Ste 132 Ridgewood NJ 07450-3729 |
| Mailing Address |
522 N Maple Ave Apt C3 Ridgewood NJ 07450-1637 |
| Practice Telephone | 2013898987 |
| Mailing Telephone | 7275991695 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Authorized Official Name | GIUSEPPE GIOVATTO JR. (OWNER) |
| Authorized Official Telephone | 2013898987 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
Chiropractic Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 615 Wyckoff Ave Ste 1, Wyckoff, NJ 074811353 | 2013898987 |
| Street Address |
10 WILSEY SQ STE 132 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649341942 | Kevin Jude Emery | Chiropractor | 310 N Maple Ave, Ridgewood, NJ 07450-2609 | 2006-11-10 |
| 1578860730 | Emery Chiropractic Group, LLC | Chiropractor | 310 N Maple Ave, Ridgewood, NJ 07450-2609 | 2011-02-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854197 | Optimum Chiropractic | Chiropractor | 749 Hope Rd Ste A, Eatontown, NJ 07724-1433 | 2020-08-31 |
| 1497366397 | Alexander Liberman | Chiropractor | 1 Weathervane Way, Marlboro, NJ 07746-1692 | 2020-08-13 |
| 1063052322 | Rsm Sports and Rehab LLC | Chiropractor | 700 Bangs Ave Unit 214, Asbury Park, NJ 07712-6958 | 2020-01-14 |
| 1326603168 | Brett Kevin Hodshon | Chiropractor | 33 Elcock Ave, Boonton, NJ 07005-8806 | 2019-05-07 |
| 1902317225 | Marina Mangano | Chiropractor | 9505 3rd Ave, Stone Harbor, NJ 08247-1928 | 2017-10-12 |
| 1437672813 | Opm Flex LLC | Chiropractor | 633 Totowa Rd, Totowa, NJ 07512-1618 | 2017-07-18 |
| 1033661236 | Cmp Group,pc | Chiropractor | 540 Bordentown Road Suite 4900 4thfl, South Amboy, NJ 08879 | 2016-11-04 |
| 1912456831 | Premier Pain and Rehabilitation Center of Nj PC | Chiropractor | 7 Ridgedale Ave Ste 204, Ste 204, Cedar Knolls, NJ 07927-1120 | 2016-10-04 |
| 1578011235 | David Luke Dijkstra | Chiropractor | 10 Corey Ln, Mendham, NJ 07945-3309 | 2016-09-12 |
| 1316336316 | Kelli Mclaughlin Velez | Chiropractor | 987 Haddon Ave, Collingswood, NJ 08108-2048 | 2015-01-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.