Healthcare Provider Details

I. General information

NPI: 1649186156
Provider Name (Legal Business Name): BERGEN CHIROPRACTIC AND SPORTS PERFORMANCE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 E RTE 4 STE 100
PARAMUS NJ
07652-2647
US

IV. Provider business mailing address

80 E RTE 4 STE 100
PARAMUS NJ
07652-2647
US

V. Phone/Fax

Practice location:
  • Phone: 201-206-0967
  • Fax:
Mailing address:
  • Phone: 201-206-0967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: HEE CHO
Title or Position: OWNER
Credential: DR
Phone: 201-206-0967