Community Chiropractic Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2144 Issued in NJ

Legal business name

COMMUNITY CHIROPRACTIC CENTER

Practice address

357 Greenwood Ave
Gloucester City, NJ 08030-1604

Phone

(856) 742-0584

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Andrew HermanNPI 1609090216

Title

Owner

Phone

(856) 742-0584

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Andrew Edward Herman, DC

  • Chiropractor
  • Gloucester City, NJ
  • NPI 1609090216
  NPD (past) Authorized official

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1457549990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 GREENWOOD AVE",
            "address_2": "P.O. BOX 559",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 GREENWOOD AVE",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "080301604",
            "telephone_number": "856-742-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CHIROPRACTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-742-0584"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3042308",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1609090216",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isiaka A Bolarinwa, M.D
• Akin Braimah
• Gina Marie Capaldo, MS, OTR/L
• City of Gloucester City
• CMC Dept of Medicine Group PA
• Cooper Physician Offices
• Crowned Communities
• Dag GC PA
• Shawanna Indoneshia Dilworth
• Divine Home Health Care Agency LLC

• All providers in Gloucester City, NJ
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.