Provider Demographics
NPI:1477632487
Name:KATZMAN, SHOSHANNA (MS, LAC, DIPL AC)
Entity type:Individual
Prefix:
First Name:SHOSHANNA
Middle Name:
Last Name:KATZMAN
Suffix:
Gender:F
Credentials:MS, LAC, DIPL AC
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:
Other - Last Name:KATZMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CA, DIPL AC
Mailing Address - Street 1:830 BROAD ST STE 1
Mailing Address - Street 2:
Mailing Address - City:SHREWSBURY
Mailing Address - State:NJ
Mailing Address - Zip Code:07702-4216
Mailing Address - Country:US
Mailing Address - Phone:732-758-1800
Mailing Address - Fax:732-758-0033
Practice Address - Street 1:830 BROAD ST STE 1
Practice Address - Street 2:
Practice Address - City:SHREWSBURY
Practice Address - State:NJ
Practice Address - Zip Code:07702-4216
Practice Address - Country:US
Practice Address - Phone:732-758-1800
Practice Address - Fax:732-758-0033
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2025-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MZ00002700171100000X
2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ204651911OtherLLC