Active NPI
Ernest Williams, DC
- Chiropractor
- Sewell, NJ
National Provider Identifier
1366461691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC04400
- Practice address
- 810 Mantua Blvd
Sewell, NJ 08080-1344 - Phone
- (856) 464-2300
- Fax
- (856) 468-6446
- NPI assigned
- Jul 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC04400 | NJ | Primary |
Addresses
Primary practice location
810 Mantua Blvd
Sewell, NJ 08080-1344
Mailing address
175 W Cohawkin Rd Ste C
Clarksboro, NJ 08020-1145
Phone (856) 423-7700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0278185000 | Other | PA | AMERIHEALTH PROVIDER |
| 0278185000 | Other | PA | IBC PROVIDER NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MC04400 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williams Chiropractic Centers PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Sewell, NJ
- NPI 1427273135
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569369600000",
"number": "1366461691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 W COHAWKIN RD STE C",
"city": "CLARKSBORO",
"state": "NJ",
"postal_code": "080201145",
"telephone_number": "856-423-7700",
"fax_number": "856-423-0823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 MANTUA BLVD",
"city": "SEWELL",
"state": "NJ",
"postal_code": "080801344",
"telephone_number": "856-464-2300",
"fax_number": "856-468-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ERNEST",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-18",
"last_updated": "2019-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC04400",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PROVIDER",
"identifier": "0278185000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IBC PROVIDER NUMBER",
"identifier": "0278185000",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sewell, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.