Individual provider Active NPI

Marc Eisenberger, D.C.

  • Chiropractor
  • Neptune, NJ
National Provider Identifier
1871793489
Registry record updated Jul 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC00491000 Issued in NJ
Practice address
1510 Corlies Ave
Neptune, NJ 07753-4904
Phone
(732) 775-1826
Fax
(732) 775-1827
NPI assigned
Jul 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 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 MC00491000 NJ Primary

Addresses

Primary practice location

1510 Corlies Ave
Neptune, NJ 07753-4904

Mailing address

12 Grace Rd
East Brunswick, NJ 08816-2752
Phone (732) 651-8745

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC00491000NJMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184976000000",
    "number": "1871793489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 GRACE RD",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088162752",
            "telephone_number": "732-651-8745",
            "fax_number": "732-651-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 CORLIES AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077534904",
            "telephone_number": "732-775-1826",
            "fax_number": "732-775-1827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EISENBERGER",
        "first_name": "MARC",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-21",
        "last_updated": "2007-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC00491000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Neptune, NJ

Sources for this page

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