Individual provider Active NPI

Joshua P Sherlock, DC

  • Chiropractor
  • Marlton, NJ
National Provider Identifier
1750449773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00598300 Issued in NJ
Practice address
30 W Route 70
Marlton, NJ 08053-3010
Phone
(973) 839-1003
Fax
(973) 839-3653
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00598300 NJ Primary

Addresses

Primary practice location

30 W Route 70
Marlton, NJ 08053-3010

Mailing address

30 W Route 70
Marlton, NJ 08053-3010
Phone (973) 839-1003

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041025000718 NJ Practitioner - Chiropractic 9436110202 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summit Spinal Care LLCGroup PAC ID 5991877789, 2 clinicians

Practice addresses (Care Compare)

212 W Route 38
Moorestown, NJ 08057-3238
Phone (973) 839-1003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bayshore Rehab Medicine, PC Past Accepting new patients

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": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1750449773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W ROUTE 70",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533010",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W ROUTE 70",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533010",
            "telephone_number": "973-839-1003",
            "fax_number": "973-839-3653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERLOCK",
        "first_name": "JOSHUA",
        "middle_name": "P",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00598300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, 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.

Verify at the official NPI Registry.