Individual provider Active NPI

Kathleen Erbeck, DC

  • Nutrition Chiropractor
  • Mendham, NJ
National Provider Identifier
1508825837
Registry record updated Mar 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
License
38MC00221400 Issued in NJ
Practice address
5 Cold Hill Rd S
BLDG 18
Mendham, NJ 07945-1546
Phone
(973) 543-7028
Fax
(973) 543-7028
NPI assigned
Mar 23, 2006
Last updated
Mar 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X 38MC00221400 NJ Primary

Addresses

Primary practice location

5 Cold Hill Rd S
BLDG 18
Mendham, NJ 07945-1546

Mailing address

5 Cold Hill Rd S
BLDG 18
Mendham, NJ 07945-3230
Phone (973) 543-7028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101005000425 NJ Practitioner - Chiropractic 7911199286 Practice locations: Mendham, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1981
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5 Cold Hill Rd
South BLDG 18
Mendham, NJ 07945-1546
Phone (973) 543-7028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427414400000",
    "number": "1508825837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COLD HILL RD S",
            "address_2": "BLDG 18",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079453230",
            "telephone_number": "973-543-7028",
            "fax_number": "973-543-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COLD HILL RD S",
            "address_2": "BLDG 18",
            "city": "MENDHAM",
            "state": "NJ",
            "postal_code": "079451546",
            "telephone_number": "973-543-7028",
            "fax_number": "973-543-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBECK",
        "first_name": "KATHLEEN",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-23",
        "last_updated": "2015-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": "NJ",
            "license": "38MC00221400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mendham, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.