Provider Demographics
NPI:1659367431
Name:VERGA, MICHAEL PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:PAUL
Last Name:VERGA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 LITTLE FALLS RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR GROVE
Mailing Address - State:NJ
Mailing Address - Zip Code:07009-1538
Mailing Address - Country:US
Mailing Address - Phone:973-571-1191
Mailing Address - Fax:
Practice Address - Street 1:681 LEXINGTON AVE
Practice Address - Street 2:4TH FL.
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-2625
Practice Address - Country:US
Practice Address - Phone:212-223-4700
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX006442-1111N00000X
NJMC04052111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYU44893Medicare UPIN
NYX58751Medicare ID - Type Unspecified