BLOOMINGDALE CHIROPRACTIC CENTER, LLC (NPI# 1871850354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871850354 |
| Entity Type | Organization |
| Organization Name | BLOOMINGDALE CHIROPRACTIC CENTER, LLC |
| Practice Address |
235 Union Ave Bloomingdale NJ 07403-1924 |
| Practice Telephone | 9734921568 |
| Practice Fax Number | 9734920279 |
| Mailing Telephone | 9734921568 |
| Mailing Fax Number | 9734920279 |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-20 |
| Authorized Official Name | DR. GEORGE EVERETT BREWSTER JR. (OWNER/ CHIROPRACTOR) |
| Authorized Official Telephone | 9734921568 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 00203800 | NJ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1790756120 | 01 |
| Street Address |
235 UNION AVE |
| City | BLOOMINGDALE |
| State | NJ |
| Zip Code | 07403-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790756120 | George Everett Brewster Jr. | Chiropractor | 235 Union Ave, Bloomingdale, NJ 07403-1924 | 2006-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326158197 | Hedoneia Jaaj | Physician Assistant | 34 A Main Street, Bloomingdale, NJ 07403 | 2006-08-30 |
| 1871669408 | Roshanak Elmendorf | Dentist | 142 Main Street, Bloomingdale, NJ 07403 | 2006-11-27 |
| 1316290976 | Jessica Rodriguez | Behavioral Analyst | 3 Waterfall Ct, Bloomingdale, NJ 07403-1030 | 2012-10-19 |
| 1265068167 | Alpha and Omega Industries LLC | Nutritionist | 37 Waterfall Ct, Bloomingdale, NJ 07403-1038 | 2020-03-23 |
| 1760416911 | Pilot Medical Services, LLC | Ambulance | 13 1st St # 15, Unit 3, Bloomingdale, NJ 07403-1213 | 2006-07-11 |
| 1376842914 | Family Medicine Group LLC | Family Medicine | 73 Clark St, Bloomingdale, NJ 07403-1300 | 2011-03-22 |
| 1932526399 | Justine Renee Krougliak | Nurse Practitioner | 125 Clark St, Bloomingdale, NJ 07403-1311 | 2014-03-24 |
| 1154885119 | Dawn Fuller | Counselor | 1 James Ave, Bloomingdale, NJ 07403-1316 | 2019-01-24 |
| 1043689540 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Winfred Ct, Bloomingdale, NJ 07403-1327 | 2015-09-15 |
| 1912158015 | David Kingsley | Radiology | 119 Demarest Rd, Bloomingdale, NJ 07403-1404 | 2008-10-07 |
| Find all providers in zip 07403 | ||||
| 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 |
|---|---|---|---|---|
| 1699383075 | Krishan Nadarajah | Chiropractor | 107 W Lake St Ste 103, Bloomingdale, IL 60108-1027 | 2020-07-21 |
| 1780209122 | Luke Capone | Chiropractor | 360 W Schick Rd, Bloomingdale, IL 60108-2965 | 2020-06-11 |
| 1881219418 | Musa Ayyad | Chiropractor | 186 Swallow Ave, Bloomingdale, IL 60108-1369 | 2020-06-09 |
| 1912552142 | Lindsay Norton | Chiropractor | 366 W Army Trail Rd Ste 330b, Bloomingdale, IL 60108-5601 | 2019-08-05 |
| 1790246668 | David Brambert | Chiropractor | 108 3rd St Ste 2, Bloomingdale, IL 60108-2912 | 2019-03-25 |
| 1417379371 | Anthony Michael Colando | Chiropractor | 360 W. Schick Rd., Units 11 & 12, Bloomingdale, IL 60108 | 2014-01-13 |
| 1962708172 | Katherine Lynn Bendis | Chiropractor | 303 E Army Trail Rd Ste 101, Bloomingdale, IL 60108-2140 | 2011-02-04 |
| 1689797367 | Advance Chiropractic Care & Acupuncture Ltd | Chiropractor | 108 S. Third St, Unit 1, Bloomingdale, IL 60108-1487 | 2007-04-09 |
| 1689712804 | Old Town Chiropractic Center PC | Chiropractor | 160 S Bloomingdale Rd, Suite D, Bloomingdale, IL 60108-1479 | 2007-02-01 |
| 1356408322 | Erin Elisabeth Ducat | Chiropractor | 148 S Bloomingdale Rd Ste 107, Bloomingdale, IL 60108-1491 | 2007-01-02 |
| Find all providers in BLOOMINGDALE | ||||
| City | BLOOMINGDALE |
| Zip Code | 07403 |
Please comment or provide details below to improve the information on BLOOMINGDALE CHIROPRACTIC CENTER, LLC.
| 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.