Individual provider Active NPI

Sherin Bourne, D.C.

  • Chiropractor
  • Flemington, NJ
National Provider Identifier
1033316617
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
332238MC00630700 Issued in NJ
Practice address
21B Stangl Rd
Flemington, NJ 08822-1582
Phone
(908) 343-6998
Fax
(908) 533-7723
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 332238MC00630700 NJ Primary

Addresses

Primary practice location

21B Stangl Rd
Flemington, NJ 08822-1582

Mailing address

21B Stangl Rd
Flemington, NJ 08822-1582
Phone (908) 722-2274

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050106000074 NJ Practitioner - Chiropractic 6709834765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National University of Arts and Sciences, Medical Department, 2003
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

21 B Stangl Rd
Flemington, NJ 08822-1582
Phone (908) 343-6998

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
332238MC00630700NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Chiropractic Center Chiropractor CurrentSince May 9, 2005 Accepting new patients

Locations

3322 US Highway 22 W
Ste 1106
Branchburg, NJ 08876
Phone (908) 722-2274

21 Stangl Rd
#B
Flemington, NJ 08822
Phone (908) 288-7129

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1033316617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21B STANGL RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221582",
            "telephone_number": "908-722-2274",
            "fax_number": "908-722-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21B STANGL RD",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221582",
            "telephone_number": "908-343-6998",
            "fax_number": "908-533-7723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOURNE",
        "first_name": "SHERIN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "332238MC00630700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flemington, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.

Verify at the official NPI Registry.