Individual provider Active NPI

Andrew Edward Herman, DC

  • Chiropractor
  • Gloucester City, NJ
National Provider Identifier
1609090216
Registry record updated Mar 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2144 Issued in NJ
Practice address
357 Greenwood at Market
Gloucester City, NJ 08030
Phone
(856) 742-0584
Fax
(856) 456-1402
NPI assigned
Apr 13, 2007
Last updated
Mar 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2144 NJ Primary

Addresses

Primary practice location

357 Greenwood at Market
Gloucester City, NJ 08030

Mailing address

PO Box 559
Gloucester City, NJ 08030
Phone (856) 742-0584

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090814000307 NJ Practitioner - Chiropractic 6406903277 Practice locations: Gloucester City, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2144NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Chiropractic Center Chiropractor PastSince Jan 1, 1989 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332806400000",
    "number": "1609090216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 559",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "08030",
            "telephone_number": "856-742-0584",
            "fax_number": "856-456-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 GREENWOOD AT MARKET",
            "city": "GLOUCESTER CITY",
            "state": "NJ",
            "postal_code": "08030",
            "telephone_number": "856-742-0584",
            "fax_number": "856-456-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2012-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloucester City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.