Organization Active NPI

Chiropractic Family Practice, PC

  • Chiropractor
  • Cherry Hill, NJ
National Provider Identifier
1396925756
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
CHIROPRACTIC FAMILY PRACTICE, PC
Practice address
1060 N Kings Hwy
Suite 110
Cherry Hill, NJ 08034-1910
Phone
(856) 667-4567
Fax
(845) 667-5094
NPI assigned
Nov 13, 2007
Last updated
Feb 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Authorized official

Name
Dr. Eric Michael Stofman, D.C.NPI 1659400299
Title
President
Phone
(856) 667-4567

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
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

1060 N Kings Hwy
Suite 110
Cherry Hill, NJ 08034-1910

Mailing address

1060 N Kings Hwy
Suite 110
Cherry Hill, NJ 08034-1910
Phone (856) 667-4567

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110307000108 NJ Part B Supplier - Clinic/Group Practice 8729260104 Receives reassigned benefits from 1 practitioner
Practice locations: Cherry Hill, NJ

National Provider Directory

National Provider Directory

Locations

1040 Kings Hwy N
Ste 101
Cherry Hill, NJ 08034
Phone (856) 667-4567

1060 Kings Hwy N
Ste 110
Cherry Hill, NJ 08034
Phone (856) 667-4567

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297123200000",
    "number": "1396925756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 N KINGS HWY",
            "address_2": "SUITE 110",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341910",
            "telephone_number": "856-667-4567",
            "fax_number": "845-667-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 N KINGS HWY",
            "address_2": "SUITE 110",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341910",
            "telephone_number": "856-667-4567",
            "fax_number": "845-667-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIROPRACTIC FAMILY PRACTICE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2011-02-08",
        "status": "A",
        "authorized_official_last_name": "STOFMAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-667-4567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.