BERGEN SPINE AND SPORT, LLC
NPI 1225507643
Chiropractor - Sports Physician in Ridgewood, NJ

Q: What is Bergen Spine And Sport, LLC's NPI number?

The NPI number for Bergen Spine And Sport, LLC is 1225507643. It was assigned to this organization in the NPPES registry on November 14, 2018.

Q: What is Bergen Spine And Sport, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Active since November 14, 2018

10 WILSEY SQ STE 132, RIDGEWOOD, NJ 07450(201) 389-8987 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Bergen Spine And Sport, Llc NPPES

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

BERGEN SPINE AND SPORT, LLC (NPI 1225507643) is a healthcare organization registered as a sports physician in Ridgewood, New Jersey and active in the NPI registry since November 2018. The organization maintains a secondary practice location in Wyckoff and lists Giuseppe Giovatto, Owner, as its authorized official.

NPPES Registry Identity

NPI1225507643

Entity TypeOrganization

Primary Taxonomy111NS0005X

Legal Business NameBERGEN SPINE AND SPORT, LLC

Location Address10 WILSEY SQ STE 132Ridgewood, NJ 07450-3729

Mailing Address522 N Maple Ave Apt C3Ridgewood, NJ 07450-1637 · (727) 599-1695

Phone(201) 389-8987

Organization SubpartNo

Authorized OfficialGiuseppe GiovattoOwner · (201) 389-8987

Enumeration DateNovember 14, 2018

✔ NPI 1225507643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

10 WILSEY SQ STE 132, Ridgewood, NJ 07450

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Secondary Practice Location 1

Location 1615 Wyckoff Ave Ste 1Wyckoff, NJ 07481-1353 · Phone (201) 389-8987

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bergen Spine And Sport, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bergen Spine And Sport, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Giuseppe Giovatto, D.C.

Chiropractic

NPI 1447456629

615 WYCKOFF AVE STE 1
Wyckoff, NJ 07481

(973) 865-5430

✔ Accepts Medicare3.4 mi

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

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 Bergen Spine And Sport, LLC's NPI number?

The NPI number for Bergen Spine And Sport, LLC is 1225507643. It was assigned to this organization in the NPPES registry on November 14, 2018.

Where is Bergen Spine And Sport, LLC located?

Bergen Spine And Sport, LLC is located at 10 Wilsey Sq Ste 132, Ridgewood, NJ 07450. The listed phone number is (201) 389-8987.

What is Bergen Spine And Sport, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Is Bergen Spine And Sport, LLC enrolled in Medicare?

Yes. Bergen Spine And Sport, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bergen Spine And Sport, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Bergen Spine And Sport, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bergen Spine And Sport, LLC was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.