Organization Active NPI

Glassboro Chiropractic Center

  • Chiropractor
  • Glassboro, NJ
National Provider Identifier
1285635003
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MCO3747 Issued in NJ
Legal business name
GLASSBORO CHIROPRACTIC CENTER
Practice address
405 N Main St
Glassboro, NJ 08028-1633
Phone
(856) 881-8811
Fax
(856) 881-9152
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Authorized official

Name
Dr. Phillip Allen Sherman, D.C.NPI 1336255116
Title
Partner
Phone
(856) 881-8811

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X MCO3747 NJ Primary

Addresses

Primary practice location

405 N Main St
Glassboro, NJ 08028-1633

Mailing address

405 N Main St
Glassboro, NJ 08028-1633
Phone (856) 881-8811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071002000744 NJ Part B Supplier - Clinic/Group Practice 0143315382 Receives reassigned benefits from 3 practitioners
Practice locations: Glassboro, NJ

National Provider Directory

National Provider Directory

Locations

405 N Main St
Glassboro, NJ 08028
Phone (609) 881-8811

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1285635003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281633",
            "telephone_number": "856-881-8811",
            "fax_number": "856-881-9152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281633",
            "telephone_number": "856-881-8811",
            "fax_number": "856-881-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLASSBORO CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "856-881-8811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MCO3747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.