Active NPI
Kathleen Erbeck, DC
- Nutrition Chiropractor
- Mendham, NJ
National Provider Identifier
1508825837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Chiropractor
- License
- 38MC00221400
- 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, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.