Individual provider Active NPI

John L Cerf, D.C.

  • Chiropractor
  • Jersey City, NJ
National Provider Identifier
1811999295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC003005800 Issued in NJ
Practice address
3200 Kennedy Blvd
First Floor
Jersey City, NJ 07306-3416
Phone
(201) 656-3719
Fax
(201) 656-4048
NPI assigned
Aug 15, 2005
Sex
Male
Sole proprietor
No

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 38MC003005800 NJ Primary

Addresses

Primary practice location

3200 Kennedy Blvd
First Floor
Jersey City, NJ 07306-3416

Mailing address

391 Shadyside Rd
Ramsey, NJ 07446-1716
Phone (201) 934-8076

Other identifiers 1

IdentifierTypeStateIssuer
4775309MedicaidNJ

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

State licenses

LicenseStateTypeSpecialty
38MC003005800NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811999295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 SHADYSIDE RD",
            "city": "RAMSEY",
            "state": "NJ",
            "postal_code": "074461716",
            "telephone_number": "201-934-8076",
            "fax_number": "201-934-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 KENNEDY BLVD",
            "address_2": "FIRST FLOOR",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063416",
            "telephone_number": "201-656-3719",
            "fax_number": "201-656-4048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERF",
        "first_name": "JOHN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC003005800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4775309",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.