Individual provider Active NPI

Derek D Ferguson, D.C.

  • Rehabilitation Chiropractor
  • Whippany, NJ
National Provider Identifier
1154586121
Registry record updated Mar 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00674100 Issued in NJ
Practice address
375 Route 10
Whippany, NJ 07981-2115
Phone
(973) 210-3838
NPI assigned
Jul 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X 38MC00674100 NJ Primary

Addresses

Primary practice location

375 Route 10
Whippany, NJ 07981-2115

Mailing address

PO Box 5222
Jersey City, NJ 07305-0222
Phone (770) 630-7229

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090729000413 NJ Practitioner - Chiropractic 6204997513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Health Centers, LLC Rehabilitation CurrentSince Nov 1, 2021 Accepting new patients
FCG Chiropractic Centers Rehabilitation Past Accepting new patients
Transformational Health Centers Rehabilitation PastSince Jan 1, 2023 Accepting new patients
Ferguson Life Health Centers of Nebraska PastSince Feb 26, 2018 Accepting new patients

Locations

361 State Route 31
Ste 903
Flemington, NJ 08822
Phone (908) 503-7600

3225 McLeod Dr
Ste 100
Las Vegas, NV 89121
Phone (702) 675-6300

Organizations & group practices 4

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520208000000",
    "number": "1154586121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5222",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073050222",
            "telephone_number": "770-630-7229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 ROUTE 10",
            "city": "WHIPPANY",
            "state": "NJ",
            "postal_code": "079812115",
            "telephone_number": "973-210-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "DEREK",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2018-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00674100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whippany, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; 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.