Active NPI
Patricia Ann Erceg, CHIROPRACTOR
- Chiropractor
- Ringoes, NJ
National Provider Identifier
1023140209
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38ML00261200
- Practice address
- 1108 Old York Road
Ringoes, NJ 08551 - Phone
- (908) 237-0012
- Fax
- (908) 237-9954
- NPI assigned
- Mar 12, 2007
- Last updated
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38ML00261200 | NJ | Primary |
Addresses
Primary practice location
1108 Old York Road
Ringoes, NJ 08551
Mailing address
PO Box 640
1108 Old York Road
Ringoes, NJ 08551
Phone (908) 237-0012
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120404000282 | NJ | Practitioner - Chiropractic | 1052571775 | Practice locations: Ringoes, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Sherman College of Straight Chiropractic, 1982
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1108 Old York Rd
Ringoes, NJ 08551-8038
Phone (908) 237-0012
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38ML00261200 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1023140209",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 640",
"address_2": "1108 OLD YORK ROAD",
"city": "RINGOES",
"state": "NJ",
"postal_code": "08551",
"telephone_number": "908-237-0012",
"fax_number": "908-237-9954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 OLD YORK ROAD",
"city": "RINGOES",
"state": "NJ",
"postal_code": "08551",
"telephone_number": "908-237-0012",
"fax_number": "908-237-9954"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERCEG",
"first_name": "PATRICIA",
"middle_name": "ANN",
"credential": "CHIROPRACTOR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38ML00261200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ringoes, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.