Edward Shmaruk, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC009895 Issued in PA

Practice address

37-09 Garden View Ter
Fair Lawn, NJ 07410-4360

Phone

(201) 819-9748

NPI assigned

Jan 14, 2008

Last updated

Jan 28, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Back2Health Chiropractic Center LLCGroup PAC ID 0143390013, 3 clinicians

Practice addresses (Care Compare)

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.

• Back2Health Chiropractic Center, LLC

  • Chiropractor
  • Hackensack, NJ
  • NPI 1114197597
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201478400000",
    "number": "1093991606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37-09 GARDENVIEW TERRACE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "07410",
            "telephone_number": "201-819-9748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37-09 GARDEN VIEW TER",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104360",
            "telephone_number": "201-819-9748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHMARUK",
        "first_name": "EDWARD",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00663600",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sher Institute for Reproductive Medicine New Jersey PA (Sher Institute for Reproductive Medicine Bergen County)
• Jennifer A Sherman, D.O.
• Michael Sherman, D.C.
• Zachary Sherman
• Shirley Leibowitz, LCSW, LLC
• Abigail Shnall
• Robert Sholomon, OD
• Alexander Shorshtein, M.D.
• Clawauna Shouldars
• Emma Shusterman, PHARMACIST

• Chiropractor in Fair Lawn, NJ
• Providers in Fair Lawn, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; 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.