Active NPI
Terry Zickerman
- Chiropractor
- East Orange, NJ
National Provider Identifier
1619653235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00612700
- Practice address
- 185 Central Avenue, Suite 311
East Orange, NJ 07018 - Phone
- (862) 520-1920
- NPI assigned
- Jun 27, 2023
- 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 | 38MC00612700 | NJ | Primary |
Addresses
Primary practice location
185 Central Avenue, Suite 311
East Orange, NJ 07018
Mailing address
50 Cummings Cir
West Orange, NJ 07052-2267
Phone (917) 612-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00612700 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Essex County Health and Wellness Center LLC | Chiropractor | Current | Accepting new patients |
Locations
185 Central Ave
Ste 311
East Orange, NJ 07018
Phone (201) 207-6294
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 and National Provider Directory roles.
-
- Chiropractor
- East Orange, NJ
- NPI 1942987508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1687824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1619653235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 CUMMINGS CIR",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522267",
"telephone_number": "917-612-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 CENTRAL AVENUE, SUITE 311",
"city": "EAST ORANGE",
"state": "NJ",
"postal_code": "07018",
"telephone_number": "862-520-1920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZICKERMAN",
"first_name": "TERRY",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-06-27",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00612700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.