Individual provider Active NPI

Kenneth M Ermann, D.C.

  • Sports Physician Chiropractor
  • Teaneck, NJ
National Provider Identifier
1306978564
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
38MC00370700 Issued in NJ
Practice address
568 Cedar LN
Teaneck, NJ 07666-1703
Phone
(201) 836-1900
Fax
(201) 836-4502
NPI assigned
Mar 12, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physician Chiropractor 111NS0005X 38MC00370700 NJ Primary

Addresses

Primary practice location

568 Cedar LN
Teaneck, NJ 07666-1703

Mailing address

568 Cedar LN
Teaneck, NJ 07666-1703
Phone (201) 836-1900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3707NJMDHealth Service Psychologist
38MC00370700NJMDSports Physician Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Health & Injury Solution, LLC Current Accepting new patients
Ermann Chiropractic & Wellness Center, LLC Current Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306978564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661703",
            "telephone_number": "201-836-1900",
            "fax_number": "201-836-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "568 CEDAR LN",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076661703",
            "telephone_number": "201-836-1900",
            "fax_number": "201-836-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERMANN",
        "first_name": "KENNETH",
        "middle_name": "M",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "38MC00370700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.