DR. WAYNE ANDREW PETERMANN D.C.
NPI 1962654285
Chiropractor - Sports Physician in Passaic, NJ

Q: What is Wayne Petermann's NPI number?

The NPI number for Wayne Petermann is 1962654285. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Q: What is Wayne Petermann's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

Q: When was this NPI record last updated?

The NPPES record for Wayne Petermann was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 17, 2008

15 1/2 HOWE AVE., 2ND FLOOR, PASSAIC, NJ 07055(973) 614-0048(973) 614-0030 Get Directions Write a Review

NPPES record last updated: May 18, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Wayne Andrew Petermann D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WAYNE ANDREW PETERMANN D.C. (NPI 1962654285) is an individual sports physician in Passaic, New Jersey, licensed in New Jersey (38MC00341900) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1962654285

Entity TypeIndividualMale

Primary Taxonomy111NS0005X

Provider Legal NameDR. WAYNE ANDREW PETERMANNCredential: D.C.

Location Address15 1/2 HOWE AVE., 2ND FLOORPassaic, NJ 07055-4001

Mailing Address20 Burnett Brook Dr, 2nd FloorMendham, NJ 07945-2101 · (973) 543-5881

Phone(973) 614-0048

Fax(973) 614-0030

Sole ProprietorYes

Enumeration DateOctober 17, 2008

Last NPPES UpdateMay 18, 2016

✔ NPI 1962654285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers

Taxonomy Code111NS0005X

License✔ Licensed in NJ · 38MC00341900

Definition

A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.

15 1/2 HOWE AVE., Passaic, NJ 07055

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wayne Petermann's NPI number?

The NPI number for Wayne Petermann is 1962654285. It was assigned to this individual provider in the NPPES registry on October 17, 2008.

Where is Wayne Petermann located?

Wayne Petermann practices at 15 1/2 Howe Ave. 2nd Floor, Passaic, NJ 07055. The listed phone number is (973) 614-0048.

What is Wayne Petermann's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Wayne Petermann was last updated on May 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.