Individual provider Active NPI

Doris Jean Soernssen-Hahn, DC

  • Chiropractor
  • Ewing, NJ
National Provider Identifier
1588699862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00572800 Issued in NJ
Practice address
1074 Parkway Ave
Ewing, NJ 08628
Phone
(609) 434-0318
Fax
(609) 434-0354
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00572800 NJ Primary

Addresses

Primary practice location

1074 Parkway Ave
Ewing, NJ 08628

Mailing address

1074 Parkway Ave
Ewing, NJ 08628
Phone (609) 434-0318

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041110000068 NJ Practitioner - Chiropractic 4587627690 Practice locations: Ewing, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1330 Pkwy Ave
Suite 11
Ewing, NJ 08628-3006
Phone (609) 434-0318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Success Chiropractic LLC Past Accepting new patients
Catholic Charities, Diocese of Trenton Past Accepting new patients
Back in Action Chiropractic Chiropractor Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1588699862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1074 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-434-0318",
            "fax_number": "609-434-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "08628",
            "telephone_number": "609-434-0318",
            "fax_number": "609-434-0354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOERNSSEN-HAHN",
        "first_name": "DORIS",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00572800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • 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.