Active NPI
Mark Alan Sherman, D.C.
- Chiropractor
- Kinnelon, NJ
National Provider Identifier
1043260953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00384200
- Practice address
- 172 Boonton Ave
Kinnelon, NJ 07405-2948 - Phone
- (973) 492-8811
- Fax
- (973) 492-0411
- NPI assigned
- May 11, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 38MC00384200 | NJ | Primary |
Addresses
Primary practice location
172 Boonton Ave
Kinnelon, NJ 07405-2948
Mailing address
172 Boonton Ave
Kinnelon, NJ 07405-2948
Phone (973) 492-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101101000066 | NJ | Practitioner - Chiropractic | 1456545722 | Practice locations: Kinnelon, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 1988
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
172 Boonton Ave
Kinnelon, NJ 07405-2948
Phone (973) 492-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1043260953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 BOONTON AVE",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052948",
"telephone_number": "973-492-8811",
"fax_number": "973-492-0411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 BOONTON AVE",
"city": "KINNELON",
"state": "NJ",
"postal_code": "074052948",
"telephone_number": "973-492-8811",
"fax_number": "973-492-0411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "MARK",
"middle_name": "ALAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-11",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00384200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kinnelon, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.