Individual provider Active NPI

Jeffrey A Pammer, D.C

  • Chiropractor
  • Waldwick, NJ
National Provider Identifier
1609259399
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00727700 Issued in NJ
Practice address
20 Franklin Tpke Ste 218
Waldwick, NJ 07463-1754
Phone
(201) 749-6610
NPI assigned
Jun 30, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00727700 NJ Primary

Addresses

Primary practice location

20 Franklin Tpke Ste 218
Waldwick, NJ 07463-1754

Mailing address

98 Minnehaha Blvd
Oakland, NJ 07436-2806
Phone (017) 496-6102

Other practice location 1

112 Bauer Dr
Oakland, NJ 07436-3105
Phone (201) 749-6610

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716001369 NJ Practitioner - Chiropractic 5991018152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 Franklin Tpke
Suite 218
Waldwick, NJ 07463-1754
Phone (201) 749-6610

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Upper Cervical PA Chiropractor CurrentSince Oct 13, 2024 Accepting new patients
Carbon Health & Wellness, LLC Chiropractor CurrentSince Nov 13, 2023 Accepting new patients

Locations

112 Bauer Dr
Oakland, NJ 07436
Phone (201) 749-6610

20 Franklin Tpke
Ste 218
Waldwick, NJ 07463
Phone (201) 749-6610

Organizations & group practices 2

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1609259399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 MINNEHAHA BLVD",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362806",
            "telephone_number": "017-496-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 FRANKLIN TPKE STE 218",
            "city": "WALDWICK",
            "state": "NJ",
            "postal_code": "074631754",
            "telephone_number": "201-749-6610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Bauer Dr",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "NJ",
            "postal_code": "074363105",
            "country_code": "US",
            "telephone_number": "201-749-6610",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAMMER",
        "first_name": "JEFFREY",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-30",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00727700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldwick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; 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.