Individual provider Active NPI

Leonard Scott Ershow, D.C., C.C.S.P.

  • Sports Physician Chiropractor
  • Princeton, NJ
National Provider Identifier
1902948524
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
License
MC 04078 Issued in NJ
Practice address
915 Commons Way
Princeton, NJ 08540-1531
Phone
(609) 921-7071
Fax
(609) 921-7739
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

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
Sports Physician Chiropractor 111NS0005X MC 04078 NJ Primary

Addresses

Primary practice location

915 Commons Way
Princeton, NJ 08540-1531

Mailing address

915 Commons Way
Princeton, NJ 08540-1531
Phone (609) 921-7071

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080124000048 NJ Practitioner - Chiropractic 9830271220 Practice locations: Princeton, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1990
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

915 Commons Way
Princeton, NJ 08540-1531
Phone (609) 921-7071

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC 04078NJMDSports Physician Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902948524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 COMMONS WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401531",
            "telephone_number": "609-921-7071",
            "fax_number": "609-921-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 COMMONS WAY",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401531",
            "telephone_number": "609-921-7071",
            "fax_number": "609-921-7739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERSHOW",
        "first_name": "LEONARD",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.C., C.C.S.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "NJ",
            "license": "MC 04078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, 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.
  • 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.