| Justin Bang, | |
|
6000 Jfk Blvd, West New York, NJ 07093 | |
| (201) 758-0099 | |
| Not Available |
| Full Name | Justin Bang |
|---|---|
| Gender | Male |
| Speciality | Chiropractor |
| Location | 6000 Jfk Blvd, West New York, 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 |
|---|---|---|---|
| 1609548932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 38MC00781400 (New Jersey) | Primary |
| Provider Name | Evergreen Medical Group Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295516409 PECOS PAC ID: 2769929082 Enrollment ID: O20240805002666 |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Bang, 2335 Blackridge Dr, Hoover, AL 35244-5236 Ph: (404) 579-0203 | Justin Bang, 6000 Jfk Blvd, West New York, NJ 07093 Ph: (201) 758-0099 |
Christopher Miglorisi, D.C Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6515 Kennedy Blvd E Apt 10c, West New York, NJ 07093 Phone: 754-367-3913 | |
Harris Ira Moore, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6000 Bergenline Ave, West New York, NJ 07093 Phone: 201-758-0099 | |
Dr. Larry Ordonez, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 6310 Bergenline Ave, West New York, NJ 07093 Phone: 201-869-6220 Fax: 201-869-5145 | |
Dr. Daniel W Maenner, D.O. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6310 Bergenline Ave, West New York, NJ 07093 Phone: 201-869-6220 Fax: 201-869-5145 | |
Dr. Joseph Anthony Mezyk, D.C. Chiropractor Medicare: Medicare Enrolled Practice Location: 323 60th Street, West New York, NJ 07093 Phone: 201-861-6800 Fax: 201-861-6803 | |
Dr. Heidi Fentzke, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kennedy Blvd W, West New York, NJ 07093 Phone: 973-838-8399 | |
Bergenline Health Care, Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6000 Kennedy Blvd W, West New York, NJ 07093 Phone: 201-758-0099 Fax: 201-758-2992 |