Mark D. Nierenberg, D.C.

Primary specialty

Orthopedic ChiropractorTaxonomy code 111NX0800X

License

38MC00470600 Issued in NJ

Practice address

3322 Route 22
Suite 1101
Branchburg, NJ 08876-3476

Phone

(908) 595-9360

Fax

(908) 253-0721

NPI assigned

Jan 11, 2007

Last updated

Jan 29, 2011By the provider in NPPES

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

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296259200000",
    "number": "1598815409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 ROUTE 22",
            "address_2": "SUITE 1101",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763476",
            "telephone_number": "908-595-9360",
            "fax_number": "908-253-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 ROUTE 22",
            "address_2": "SUITE 1101",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763476",
            "telephone_number": "908-595-9360",
            "fax_number": "908-253-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIERENBERG",
        "first_name": "MARK",
        "middle_name": "D.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NJ",
            "license": "38MC00470600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopedic Chiropractor in Branchburg, NJ
• Providers in Branchburg, NJ by specialty
• Orthopedic Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2011; 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.