Dr. Tiffany a Dickman, D.C, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00581500 Issued in NJ

Legal business name

DR. TIFFANY A DICKMAN, D.C, LLC

Doing business as

Tiffany A Dickman, D.C

Practice address

160 Market Street
Suite 2
Saddle Brook, NJ 07663

Phone

(201) 250-8810

Fax

(201) 712-1444

NPI assigned

May 10, 2018

Last updated

May 10, 2018By the provider in NPPES

Organization subpart

Yes

Parent organization

DR TIFFANY A DICKMAN, DC, LLCAs reported in NPPES

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

Authorized official

Name

Dr. Tiffany A Dickman, D.C.NPI 1437482809

Title

Doctor of Chiropractic

Phone

(201) 961-4712

Specialties & licenses 1

Addresses

Other names 1

• Tiffany A Dickman, D.C Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Part of

Dr Tiffany a Dickman DC LLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tiffany A Dickman, D.C.

  • Chiropractor
  • Maywood, NJ
  • NPI 1437482809
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1720578263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MARKET STREET",
            "address_2": "SUITE 2",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "201-250-8810",
            "fax_number": "201-712-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MARKET STREET",
            "address_2": "SUITE 2",
            "city": "SADDLE BROOK",
            "state": "NJ",
            "postal_code": "07663",
            "telephone_number": "201-250-8810",
            "fax_number": "201-712-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. TIFFANY A DICKMAN, D.C, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DR TIFFANY A DICKMAN, DC, LLC",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "DICKMAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "201-961-4712",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00581500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tiffany A Dickman, D.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chiropractor in Saddle Brook, NJ
• Providers in Saddle Brook, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.

Verify at the official NPI Registry.