Andrew Edward Herman, DC
Individual provider Active NPI Chiropractor · Gloucester City, NJ
NPI 1609090216 · NPPES record last updated Mar 27, 2012
Key facts
- NPI
- 1609090216
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2144 (NJ)
- Practice address
- 357 Greenwood at Market
Gloucester City, NJ 08030 - Phone
- (856) 742-0584
- Fax
- (856) 456-1402
- NPI assigned
- Apr 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090814000307 | NJ | Practitioner - Chiropractic | 6406903277 | Practice locations: Gloucester City, NJ |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2144 | NJ | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Chiropractic Center | Chiropractor | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2144 | NJ | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3042308 | Medicaid | NJ |
Other providers in Gloucester City, NJ
- Chastiti Fitzgerald
- William Gladle
- Gloucester City Board of Education
- Kristina M Greco
- Healthy Smiles of Gloucester City
- Daniel J Hyman
- Alden Kyu Kim
- Hannah Kim
- Karen Jane Kirby
- Steven Klein
All providers in Gloucester City, NJ · Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.