Active NPI
Jeremy John Deichman, D.C
- Chiropractor
- Brick, NJ
National Provider Identifier
1861591513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00635800
- Practice address
- 567 Mantoloking Rd
Unit 7
Brick, NJ 08723-5620 - Phone
- (732) 746-3160
- Fax
- (732) 746-3261
- NPI assigned
- Sep 21, 2006
- Last updated
- Sep 27, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00635800 | NJ | Primary |
Addresses
Primary practice location
567 Mantoloking Rd
Unit 7
Brick, NJ 08723-5620
Mailing address
567 Mantoloking Rd
Unit 7
Brick, NJ 08723-5620
Phone (732) 746-3160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050222000668 | NJ | Practitioner - Chiropractic | 0345293023 | Practice locations: Brick, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
567 Mantoloking Rd
Unit 7
Brick, NJ 08723-5620
Phone (732) 746-3160
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00635800 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474934400000",
"number": "1861591513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "567 MANTOLOKING RD",
"address_2": "UNIT 7",
"city": "BRICK",
"state": "NJ",
"postal_code": "087235620",
"telephone_number": "732-746-3160",
"fax_number": "732-746-3261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "567 MANTOLOKING RD",
"address_2": "UNIT 7",
"city": "BRICK",
"state": "NJ",
"postal_code": "087235620",
"telephone_number": "732-746-3160",
"fax_number": "732-746-3261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEICHMAN",
"first_name": "JEREMY",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "D.C",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2016-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00635800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; 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.