Mark A Schlobohm, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00427000 Issued in NJ

Practice address

133 Gales Dr
New Providence, NJ 07974-2903

Phone

(908) 665-1818

Fax

(908) 665-9565

NPI assigned

Sep 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Los Angeles College of Chiropractic, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528160165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 GALES DR",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742903",
            "telephone_number": "908-665-1818",
            "fax_number": "908-665-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 GALES DR",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079742903",
            "telephone_number": "908-665-1818",
            "fax_number": "908-665-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHLOBOHM",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00427000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Thomas Sacks, PT, DPT, CSCS
• Dilcia Saldana-Wilmot, LPC
• Alexandra Saldanha, LCSW, LCADC
• Ghada Saleh, M.A, LPC
• Diana Sanchez
• Benjamin Mark Schneider, M.D.
• Kelly Nicole Schwager
• Beatrice Schwarzkopf, PSY.D., NCSP
• Renu Shah, O.D.
• Steven Jay Sheris, MD

• Chiropractor in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.