Eric Anthony Waldorf, DC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

MC 05658 Issued in NJ

Practice address

1301 Prince Rodgers Ave
Bridgewater, NJ 08807-2020

Phone

(908) 541-1717

Fax

(908) 541-0539

NPI assigned

Dec 19, 2005

Last updated

Sep 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Chiropractic Works, LLC

  dba Oakland Spine and Physical Therapy

  • Chiropractor
  • Oakland, NJ
  • NPI 1043468895
  Medicare reassignment NPD
• Waldorf Chiropractic Center, PC

  • Chiropractor
  • Bridgewater, NJ
  • NPI 1457474173
  Authorized official Same address or phone
• Back and Neck Center of Brick LLC

  • Chiropractor
  • Brick, NJ
  • NPI 1134374564
  NPD
• Ospt of Clifton LLC

  • Physical Medicine & Rehabilitation Physician
  • Clifton, NJ
  • NPI 1306665989
  NPD (past)
• Premier Medical of NJ

  • Cardiovascular Disease Physician
  • Clifton, NJ
  • NPI 1316724263
  NPD (past)

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1083690432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PRINCE RODGERS AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072020",
            "telephone_number": "908-541-1717",
            "fax_number": "908-541-0539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PRINCE RODGERS AVE",
            "city": "BRIDGEWATER",
            "state": "NJ",
            "postal_code": "088072020",
            "telephone_number": "908-541-1717",
            "fax_number": "908-541-0539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALDORF",
        "first_name": "ERIC",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "MC 05658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monisha H Vora, R.D.
• Vrunda Patel LLC
• Bridgette Wahlers, LAC
• Margaret Waitikowich, RNFA
• Waldorf Chiropractic Center, PC
• Walgreen Co (Walgreens #15029)
• Walgreen Co (Rite Aid #20577)
• Walgreen Co (Rite Aid)
• David Matthew Walker, MD
• Liv L. Wallin, DVM

• Sports Physician Chiropractor in Bridgewater, NJ
• Providers in Bridgewater, NJ by specialty
• Sports Physician Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.