Individual provider Active NPI

Jeffrey Marc Tanzman, DC

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1770767089
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00199200 Issued in NJ
Practice address
1716 Highway 27
Edison, NJ 08817-3449
Phone
(732) 985-0700
Fax
(732) 985-0701
NPI assigned
Dec 21, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 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 38MC00199200 NJ Primary

Addresses

Primary practice location

1716 Highway 27
Edison, NJ 08817-3449

Mailing address

1716 Highway 27
Edison, NJ 08817-3449
Phone (732) 985-0700

Other identifiers 1

IdentifierTypeStateIssuer
3301401MedicaidNJ

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raritan Valley Chiropractic Center Chiropractor Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1770767089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 HIGHWAY 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173449",
            "telephone_number": "732-985-0700",
            "fax_number": "732-985-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 HIGHWAY 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173449",
            "telephone_number": "732-985-0700",
            "fax_number": "732-985-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANZMAN",
        "first_name": "JEFFREY",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00199200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3301401",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.