DR. MICHAEL M CREDICO (NPI# 1437180817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437180817 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL M CREDICO |
| Credential | D.C. |
| Practice Address |
1129 Broad St Bloomfield NJ 07003-2918 |
| Practice Telephone | 9733383620 |
| Practice Fax Number | 9733384849 |
| Mailing Telephone | 9733383620 |
| Mailing Fax Number | 9733384849 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111NS0005X |
Chiropractor Specialization: Sports Physician |
MC01570 | NJ | Chiropractic Providers |
| Street Address |
1129 BROAD ST |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639105380 | Bloomfield Total Health Center | Chiropractor | 1129 Broad St, Bloomfield, NJ 07003-2918 | 2006-06-24 |
| 1316271273 | Philip T Casale | Chiropractor | 1129 Broad St, Bloomfield, NJ 07003-2918 | 2009-09-25 |
| 1548495807 | Eric R Franchino | Chiropractor | 1129 Broad St, Bloomfield, NJ 07003-2918 | 2009-05-15 |
| 1275695504 | Steven F Danziger | Physical Therapist | 1129 Broad St, Bloomfield Total Health Center, Bloomfield, NJ 07003-2918 | 2006-12-14 |
| 1073673117 | Anne E Coffey | Chiropractor | 1129 Broad St, Bloomfield, NJ 07003 | 2006-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| 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 |
|---|---|---|---|---|
| 1639105380 | Bloomfield Total Health Center | Chiropractor | 1129 Broad St, Bloomfield, NJ 07003-2918 | 2006-06-24 |
| 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 |
| 1225507643 | Bergen Spine and Sport, LLC | Chiropractor | 10 Wilsey Sq Ste 132, Ridgewood, NJ 07450-3729 | 2018-11-14 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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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.