JOHN LUKE BRUNGARD (NPI# 1417450479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417450479 |
| Entity Type | Individual |
| Full Name | JOHN LUKE BRUNGARD |
| Credential | DC |
| Practice Address |
285 Parker Rd Eatontown NJ 07724-9621 |
| Practice Telephone | 7322293344 |
| Practice Fax Number | 7327280870 |
| Mailing Telephone | 7322293344 |
| Mailing Fax Number | 7327280870 |
| Enumeration Date | 2018-03-15 |
| Last Update Date | 2018-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38MC00750900 | NJ | Chiropractic Providers |
| Street Address |
285 PARKER RD |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-9621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427088517 | Ralph Ernesto | Podiatrist | 285 Parker Rd, Eatontown, NJ 07724-9621 | 2006-07-04 |
| 1407979552 | Joseph T. Simone | Chiropractor | 285 Parker Rd, Eatontown, NJ 07724 | 2007-04-06 |
| 1841207511 | Compassionate Podiatry Foot & Ankle Care LLC | Podiatrist | 285 Parker Rd, Eatontown, NJ 07724-9621 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568846145 | Wanderson M. Silva | Chiropractor | 613 Hope Rd Ste 1, Eatontown, NJ 07724-1279 | 2015-07-14 |
| 1598157687 | Elizabeth Virginia Molland | Chiropractor | 615 Hope Road Building 5, Eatontown, NJ 07724 | 2015-02-26 |
| 1356779805 | New Leaf Health and Wellness, P.C. | Chiropractor | 3 Corbett Way Ste A, Eatontown, NJ 07724-2283 | 2013-10-21 |
| 1023196094 | Garden State Spine and Pain Institute LLC | Chiropractor | 7 Meridian Rd, Eatontown, NJ 07724-2242 | 2006-11-01 |
| 1538154729 | Eric M Freedman | Chiropractor | 40 Broad St, Suite 101, Eatontown, NJ 07724-1553 | 2005-09-14 |
| 1215577143 | Graison Tjelle | Chiropractor | 7 Meridian Rd, Eatontown, NJ 07724-2242 | 2020-01-08 |
| 1871051706 | Nathaniel Proce | Chiropractor | 7 Meridian Rd, Eatontown, NJ 07724 | 2019-03-11 |
| 1700350980 | Anthony Lanzano | Chiropractor | 7 Meridian Rd, Eatontown, NJ 07724-2242 | 2019-01-22 |
| 1720567118 | Christopher Kotwicki | Chiropractor | 7 Meridian Rd, Eatontown, NJ 07724-2242 | 2018-08-07 |
| 1790296382 | Advanced Chiropractic Healthcare & Wellness, LLC | Chiropractor | 613 Hope Rd Ste 1, Eatontown, NJ 07724-1279 | 2017-10-23 |
| Find all providers in EATONTOWN | ||||
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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.