Thomas Theodore Herchakowski, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00639400 Issued in NJ

Practice address

59 Avenue of the CMN
Suite 201
Shrewsbury, NJ 07702-4806

Phone

(732) 542-2121

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356494926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 HARVARD RD",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043103",
            "telephone_number": "732-747-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 AVENUE OF THE CMN",
            "address_2": "SUITE 201",
            "city": "SHREWSBURY",
            "state": "NJ",
            "postal_code": "077024806",
            "telephone_number": "732-542-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERCHAKOWSKI",
        "first_name": "THOMAS",
        "middle_name": "THEODORE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00639400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Haubrich, CRNA
• Haven for Healing
• Alexandra Jo Havlik, PA-C
• Kathleen N Heady, LMT
• Erick Waldemar Henderiks, CHIROPRACTOR DC
• Jessica Lauren Hill, BCBA
• Karen J Hodge, RD
• Emily C Holden, M.D.
• Colleen Holt, FNP-C
• Heather Hood, CRNA

• Chiropractor in Shrewsbury, NJ
• Providers in Shrewsbury, NJ by specialty
• Chiropractor in New Jersey

• 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.