Active NPI
Irene Lane Sherman, D.C.
- Chiropractor
- Glassboro, NJ
National Provider Identifier
1689780470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC03207
- Practice address
- 405 N Main St
Glassboro, NJ 08028-1633 - Phone
- (856) 881-8811
- Fax
- (856) 881-9152
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
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 | MC03207 | NJ | Primary |
Addresses
Primary practice location
405 N Main St
Glassboro, NJ 08028-1633
Mailing address
405 N Main St
Glassboro, NJ 08028-1633
Phone (856) 881-8811
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 N Main St
Glassboro, NJ 08028-1633
Phone (856) 881-8811
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC03207 | NJ | MD | Chiropractor |
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
- Glassboro, NJ
- NPI 1285635003
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689780470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "405 N MAIN ST",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281633",
"telephone_number": "856-881-8811",
"fax_number": "856-881-9152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 N MAIN ST",
"city": "GLASSBORO",
"state": "NJ",
"postal_code": "080281633",
"telephone_number": "856-881-8811",
"fax_number": "856-881-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "IRENE",
"middle_name": "LANE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC03207",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glassboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.