JUSTIN BANG – Chiropractor, NPI 1609548932

JUSTIN BANG is a healthcare provider. based in Hoover, Alabama. specializing in CHIROPRACTIC. They hold a License No. 38MC00781400 (NJ). The NPI Number for JUSTIN BANG is 1609548932

Main info

Male
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN BANG
NPI
1609548932
Phone
(404) 579-0203
Address
2335 BLACKRIDGE DR
Enumeration Date
5 October 2021
Last Update Date
5 October 2021

Doctor Profile

Medical School Name
LIFE CHIROPRACTIC COLLEGE
Secondary Phone
2017917771
Graduation Year
2019 (7 years ago)
PAC ID
9931637998
Group Practice PAC ID
2769929082
Professional Enrollment ID
I20250106000101
Address ID
NJ076612307RI887XXRDXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

1,620 CHIROPRACTIC in NJ

Provider Addresses for JUSTIN BANG

  • 2335 BLACKRIDGE DR

    HOOVER, AL 352445236

    Phone: (404) 579-0203

    Type: Mailing

  • 6000 JFK BLVD

    WEST NEW YORK, NJ 07093

    Phone: (201) 758-0099

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250106000101IChiropracticNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35244)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2769929082View full group profile
NameSpecialtyState
Internal MedicineNY
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Nurse PractitionerNJ
Family PracticeNY
Physical Medicine And Rehabilitation, Pain ManagementNY

Reviews

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Frequently asked questions

What unique ID ties claims to JUSTIN BANG?
NPI 1609548932 is assigned to JUSTIN BANG under the national enumeration system.
Is JUSTIN BANG's NPI currently valid?
The extract we use shows JUSTIN BANG as active.
What kind of provider is JUSTIN BANG?
The page reflects Chiropractor for JUSTIN BANG. Clinical services aligned with this taxonomy classification.
Does JUSTIN BANG practice in Alabama?
You will see Hoover, Alabama on file for JUSTIN BANG alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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