MEDICARE: DR. MICHAEL PAUL VERGA D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	X006442-1	NY
2	111N00000X	Chiropractor	MC04052	NJ

General Provider Information

NPI Number	:	1659367431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL PAUL VERGA D.C.

Provider Business Mailing Address
First Line	:	181 LITTLE FALLS RD
Second Line	:
City	:	CEDAR GROVE
State	:	NJ
Zip	:	07009-1538
Country	:	US
Telephone Number	:	973-571-1191
Fax Number	:

Provider Business Practice Location Address
First Line	:	681 LEXINGTON AVE
Second Line	:	4TH FL.
City	:	NEW YORK
State	:	NY
Zip	:	10022-2625
Country	:	US
Telephone Number	:	212-223-4700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2005
Last Update Date	:	07/08/2007

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