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DR. WAYNE M POLLER DC
NPI 1083699292
Chiropractor in Bergenfield, NJ

Active since December 09, 2005
136 N WASHINGTON AVENUE, 103, BERGENFIELD, NJ 07621(201) 387-2800(201) 387-2248 Get Directions Write a Review

NPPES record last updated: February 4, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Wayne M Poller Dc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WAYNE M POLLER DC (NPI 1083699292) is an individual chiropractor in Bergenfield, New Jersey, licensed in New Jersey (38MC00208200) and active in the NPI registry since December 2005. He is a graduate of New York Chiropractic College (1980).

NPPES Registry Identity

NPI1083699292
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameDR. WAYNE M POLLERCredential: DC
Location Address136 N WASHINGTON AVENUE, 103Bergenfield, NJ 07621
Mailing Address136 N Washington Avenue, 103Bergenfield, NJ 07621 · (201) 387-2800 · Fax (201) 387-2248
Phone(201) 387-2800
Fax(201) 387-2248
Sole ProprietorYes
Medical School CMSNew York Chiropractic CollegeGraduated 1980
Enumeration DateDecember 9, 2005
Last NPPES UpdateFebruary 4, 2009
✔ NPI 1083699292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in NJ · 38MC00208200
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
136 N WASHINGTON AVENUE, Bergenfield, NJ 07621
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Other Identifiers 4

Medicare UPINT45577NJ
Other0023792NJ · Ghi
Other350055367NJ · Railroad Medicare
Medicare ID-Type UnspecifiedPO461815NJ · Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Wayne M Poller Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5890891121
PECOS Enrollment IDI20070503000360

Medicare Billing Reassignment

Medicare enrollment records show Wayne Poller reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bergen Spine & Rehabilitation, LLC
Same address
Occupational Health
136 N WASHINGTON AVENUE, 103
Bergenfield, NJ 07621
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1992804868 (201) 387-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 5 spinal regions 98942
Chiropractic manipulative treatment focuses on adjusting your spine to improve your body's alignment. In a 5 spinal region treatment, the chiropractor applies controlled force to specific areas in your neck, mid-back, lower back, and both sides of your pelvis.
1,404 services78 patients
Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
177 services16 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERGEN SPINE & REHABILITATION, LLC
Chiropractor (Occupational Health)
136 N WASHINGTON AVENUE, 103
BERGENFIELD, NJ 07621
Bergen County (201) 387-2800

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Poller's NPI number?

The NPI number for Wayne Poller is 1083699292. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Where is Wayne Poller located?

Wayne Poller practices at 136 N Washington Avenue 103, Bergenfield, NJ 07621. The listed phone number is (201) 387-2800.

What is Wayne Poller's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Wayne Poller enrolled in Medicare?

Yes. Wayne Poller is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wayne Poller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wayne Poller reassigns Medicare benefits to Bergen Spine & Rehabilitation, LLC (Bergenfield, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wayne Poller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Wayne Poller was last updated on February 4, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.