Provider Demographics
NPI:1508808866
Name:FAMILY CHIROPRACTIC CLINIC OF HILLSBOROUGH
Entity Type:Organization
Organization Name:FAMILY CHIROPRACTIC CLINIC OF HILLSBOROUGH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BERJU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:908-359-0123
Mailing Address - Street 1:303 OMNI DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-4526
Mailing Address - Country:US
Mailing Address - Phone:908-359-0123
Mailing Address - Fax:908-359-0143
Practice Address - Street 1:303 OMNI DR
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:NJ
Practice Address - Zip Code:08844-4526
Practice Address - Country:US
Practice Address - Phone:908-359-0123
Practice Address - Fax:908-359-0143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00285100111N00000X
NJ38MC00275300111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Not Answered111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1679546535OtherNPI # DR CHRIS BERJU
NJ1092974Medicaid
NJ1275506032OtherNPI# DR RON BERJU
NJ1956906Medicaid
NJ3212106Medicaid
NJ1428306Medicaid
NJ1956906Medicaid
NJ1092974Medicaid
NJ3212106Medicaid