| Jack A Atzmon, | |
| 
					47 Hamburg Tpke, Riverdale, NJ 07457-1127  | |
| (973) 874-7777 | |
| (973) 341-7791 | 
| Full Name | Jack A Atzmon | 
|---|---|
| Gender | Male | 
| Speciality | Chiropractor | 
| Location | 47 Hamburg Tpke, Riverdale, New Jersey | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1962565648 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00705700 (New Jersey) | Primary | 
| 111N00000X | Chiropractor | X007493 (New York) | Secondary | 
| Provider Name | Atzmon Chiropractic And Health Center Llc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1669963120 PECOS PAC ID: 2062747462 Enrollment ID: O20190708001314  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jack A Atzmon, 47 Hamburg Tpke, Riverdale, NJ 07457-1127 Ph: (973) 874-9777  | Jack A Atzmon, 47 Hamburg Tpke, Riverdale, NJ 07457-1127 Ph: (973) 874-7777  | 
Dr. Gary C Stewart, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 43 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-835-5773  | |
Dr. Lori A. Brolsma, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 7 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-831-1100 Fax: 973-831-6622  | |
Dr. Travis A Rode, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 7 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-831-1100  | |
Dr. Joseph Young, D.C Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 7 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 973-831-1100 Fax: 973-831-6622  | |
Atzmon Chiropractic And Health Center Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 47 Hamburg Tpke, Riverdale, NJ 07457 Phone: 973-874-9777 Fax: 973-341-7791  | |
Dr. Giselle Foss, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 18 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 201-247-4524  | |
Kevin Pavlak, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 18 Newark Pompton Tpke, Riverdale, NJ 07457 Phone: 197-361-6455 Fax: 973-616-4555  |