Active NPI
Xerxes Oshidar, DC
- Chiropractor
- Lumberton, NJ
National Provider Identifier
1174676167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC00580900
- Practice address
- 227 Madison Ave
Lumberton, NJ 08048-2901 - Phone
- (609) 261-7562
- Fax
- (609) 261-7562
- NPI assigned
- Jan 21, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CO9080-5B | NY | |
| Chiropractor | 111N00000X | MC00580900 | NJ | Primary |
Addresses
Primary practice location
227 Madison Ave
Lumberton, NJ 08048-2901
Mailing address
227 Madison Ave
Lumberton, NJ 08048-2901
Phone (609) 261-7562
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P2198428 | Other | NY | OXFORD TRIAD NYNJ |
| 640635 | Other | NY | ACN NY NJ |
| X5X771 | Other | NY | BCBS NY |
| 5898227 | Other | NY | GHI ALIGNIS |
| NY0796 | Other | NY | HEALTHNET LANDMARK NY |
| 2395999000 | Other | NJ | AMERIHEALTH KEYSTONE HMO |
| 2945983 | Other | NY | AETNA ACN NY NJ |
| 1030676 | Other | NY | CIGNA ASH NY NJ |
| NJ05809 | Other | NJ | HEALTHNET LANDMARK NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Life Chiropractic College - West, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
227 Madison Ave
Lumberton, NJ 08048-2901
Phone (609) 261-7562
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC00580900 | NJ | MD | Chiropractor |
| CO9080-5B | NY | MD | Chiropractor |
| 009080 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Back and Neck Care, PC | Chiropractor | Current | Accepting new patients |
Locations
227 Madison Ave
Lumberton, NJ 08048
Phone (609) 261-7562
Organizations & group practices 2
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.
-
- Chiropractor
- Lumberton, NJ
- NPI 1427372374
-
- Chiropractor
- Lumberton, NJ
- NPI 1861546970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174676167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "227 MADISON AVE",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080482901",
"telephone_number": "609-261-7562",
"fax_number": "609-261-7562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "227 MADISON AVE",
"city": "LUMBERTON",
"state": "NJ",
"postal_code": "080482901",
"telephone_number": "609-261-7562",
"fax_number": "609-261-7562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSHIDAR",
"first_name": "XERXES",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "CO9080-5B",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC00580900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD TRIAD NYNJ",
"identifier": "P2198428",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN NY NJ",
"identifier": "640635",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NY",
"identifier": "X5X771",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI ALIGNIS",
"identifier": "5898227",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET LANDMARK NY",
"identifier": "NY0796",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH KEYSTONE HMO",
"identifier": "2395999000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ACN NY NJ",
"identifier": "2945983",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ASH NY NJ",
"identifier": "1030676",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET LANDMARK NJ",
"identifier": "NJ05809",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lumberton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.