Active NPI
Andrew Edward Herman, DC
- Chiropractor
- Gloucester City, NJ
National Provider Identifier
1609090216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2144
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090814000307 | NJ | Practitioner - Chiropractic | 6406903277 | Practice locations: Gloucester City, NJ |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2144 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Chiropractic Center | Chiropractor | Past | 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.