Individual provider Active NPI

Diane M Kramer, D.C.

  • Chiropractor
  • Glen Rock, NJ
National Provider Identifier
1851411979
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00182900 Issued in NJ
Practice address
519 S Broad St
Glen Rock, NJ 07452-1309
Phone
(201) 652-6505
Fax
(201) 652-3305
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00182900 NJ Primary

Addresses

Primary practice location

519 S Broad St
Glen Rock, NJ 07452-1309

Mailing address

261 Rock Rd
Glen Rock, NJ 07452-1720
Phone (201) 652-6505

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080424000315 NJ Practitioner - Chiropractic 9638257132 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1978
Medicare assignment
May accept Medicare assignment
Group practices
Kramer Chiropractic CenterGroup PAC ID 7810075595, 2 clinicians

Practice addresses (Care Compare)

514 Lafayette Ave
Hawthorne, NJ 07506-2422
Phone (201) 652-6505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00182900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Kramer Chiropractic Center Chiropractor CurrentSince Jan 1, 2008 Accepting new patients

Locations

519 S Broad St
Glen Rock, NJ 07452
Phone (201) 652-6505

514 Lafayette Ave
Hawthorne, NJ 07506
Phone (201) 652-6505

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1851411979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 ROCK RD",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521720",
            "telephone_number": "201-652-6505",
            "fax_number": "201-652-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "519 S BROAD ST",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074521309",
            "telephone_number": "201-652-6505",
            "fax_number": "201-652-3305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "DIANE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00182900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Rock, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; 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.