Active NPI
Ferguson Life Health Centers of New Jersey
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Whippany, NJ
National Provider Identifier
1578065728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- FERGUSON LIFE HEALTH CENTERS OF NEW JERSEY
- Practice address
- 375 Route 10
Whippany, NJ 07981-2115 - Phone
- (973) 210-3838
- Fax
- (973) 947-7009
- NPI assigned
- Mar 5, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Derek D Ferguson
- Title
- Owner
- Phone
- (201) 716-9199
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Rehabilitation Chiropractor | 111NR0400X | |||
| Family Medicine Physician | 207Q00000X | |||
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary | ||
| General Practice Physician | 208D00000X | |||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
375 Route 10
Whippany, NJ 07981-2115
Mailing address
375 Route 10
Whippany, NJ 07981-2115
Phone (973) 210-3838
National Provider Directory
National Provider DirectoryLocations
375 Route 10
Whippany, NJ 07981
Phone (973) 210-3838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631232000000",
"number": "1578065728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 ROUTE 10",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079812115",
"telephone_number": "973-210-3838",
"fax_number": "973-947-7009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "375 ROUTE 10",
"city": "WHIPPANY",
"state": "NJ",
"postal_code": "079812115",
"telephone_number": "973-210-3838",
"fax_number": "973-947-7009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FERGUSON LIFE HEALTH CENTERS OF NEW JERSEY",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-05",
"last_updated": "2021-09-10",
"certification_date": "2021-09-10",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "DEREK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "201-716-9199"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "111NR0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Rehabilitation",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whippany, NJ
- Olufunmilayo Fasehun, RPH, PH.D
- FCG Chiropractic Centers
- Steven P Feldstein, PHD
- Ferguson 'Life' Chiropractic Centers, LLC
- Ferguson Life Health & Chiropractic Centers, LLC
- Derek D Ferguson, D.C.
- Jennifer Rebecca Hughes Forbes, M.D.
- Jacqueline Lee Foster, DPT
- Franklin Pediatrics PA
- Kelly Gabbett, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.