Provider Demographics
NPI:1245254457
Name:LERMAN, REED BRIAN (DC)
Entity type:Individual
Prefix:MR
First Name:REED
Middle Name:BRIAN
Last Name:LERMAN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 363
Mailing Address - Street 2:
Mailing Address - City:SHIP BOTTOM
Mailing Address - State:NJ
Mailing Address - Zip Code:08008-0248
Mailing Address - Country:US
Mailing Address - Phone:609-661-0101
Mailing Address - Fax:
Practice Address - Street 1:175 E BAY AVE
Practice Address - Street 2:
Practice Address - City:MANAHAWKIN
Practice Address - State:NJ
Practice Address - Zip Code:08050-3105
Practice Address - Country:US
Practice Address - Phone:609-661-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2008-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00576400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ203493031OtherBC/BS
NJ7855827OtherAETNA PIN
NJ1163556OtherAETNA HMO
NJ2795579000OtherAMERIHEALTH IND. PROVIDER
NJ2795581000OtherAMERIHEALTH VENDOR BILLNG
NJ097148UW3OtherMEDICARE IND. PIN
NJ097149OtherLEGACY PIN
NJ1245254457OtherPROVIDER NPI
NJ1326173782OtherGROUP NPI
NJ1163556OtherAETNA HMO
NJ2795579000OtherAMERIHEALTH IND. PROVIDER