Active NPIOrganization

Bleeker Street Chiropractic LLC

Chiropractor in Newark, New Jersey

NPI Number1649606567
Practice location
45 Bleeker St, First Floor, Newark, NJ 07102-1913
Fax
973-230-2260
Last updated
September 24, 2013

Bleeker Street Chiropractic LLC is a healthcare organization based in Newark, NJ. Bleeker Street Chiropractic LLC practices in Newark, NJ. The NPI Number for Bleeker Street Chiropractic LLC is 1649606567 and holds a License No. MC04563 (NJ). The current practice location address for Bleeker Street Chiropractic LLC is 45 Bleeker St, First Floor, Newark, NJ 07102-1913 and can be reached out via phone at 973-230-4222 and via fax at 973-230-2260.

Provider Profile Details

NPI Number
1649606567
Provider Name
Bleeker Street Chiropractic LLC
Provider Entity Type
Organization
Address
45 Bleeker St, First Floor, Newark, NJ 07102-1913
Phone Number
973-230-4222
Fax Number
973-230-2260
Primary Taxonomy
Chiropractor · 111N00000X
Organization Subpart
No
Authorized Official
Anthony Fava, DC · Owner · 973-230-4222
Provider Enumeration Date
September 24, 2013
Last Update Date
September 24, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
45 Bleeker St
First Floor
Newark, NJ 07102-1913
City
Newark
Zip
07102-1913
Phone Number
973-230-4222
Fax Number
973-230-2260
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
45 Bleeker St
First Floor
Newark, NJ 07102-1913
City
Newark
State
NJ
Zip
07102-1913
Phone Number
973-230-4222
Fax Number
973-230-2260

License Information

License Number
MC04563
License State
NJ
Taxonomy
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bleeker Street Chiropractic LLC?

The NPI number of Bleeker Street Chiropractic LLC is 1649606567. It was assigned on September 24, 2013 and is currently active in the NPPES registry.

What is the specialty of Bleeker Street Chiropractic LLC?

Bleeker Street Chiropractic LLC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number MC04563.

Where does Bleeker Street Chiropractic LLC practice?

The practice location is 45 Bleeker St, First Floor, Newark, NJ 07102-1913. The office can be reached at 973-230-4222 (phone) or 973-230-2260 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649606567 directly on the NPPES registry website.

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