Individual provider Active NPI

Frederick Charles Eyer III, DR

  • Chiropractor
  • Forked River, NJ
National Provider Identifier
1013723667
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00808500 Issued in NJ
Practice address
424 S Main St
Forked River, NJ 08731-4654
Phone
(609) 971-3500
NPI assigned
Dec 9, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00808500 NJ Primary

Addresses

Primary practice location

424 S Main St
Forked River, NJ 08731-4654

Mailing address

226 Teakwood Dr
Bayville, NJ 08721-3122
Phone (732) 239-5406

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230003439 NJ Practitioner - Chiropractic 2668909870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Thompson Medical and Chiropractic LLCGroup PAC ID 5395008163, 48 clinicians

Practice addresses (Care Compare)

424 S Main St
Forked River, NJ 08731-4654
Phone (609) 971-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00808500NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Dec 11, 2024 Accepting new patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Dec 11, 2024 Accepting new patients

Locations

106 Apple St
Ste 100C
Tinton Falls, NJ 07724
Phone (732) 747-5022

810 Hooper Ave
Ste 1
Toms River, NJ 08753
Phone (732) 281-3200

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1733702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1013723667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 TEAKWOOD DR",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087213122",
            "telephone_number": "732-239-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 S MAIN ST",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314654",
            "telephone_number": "609-971-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYER",
        "first_name": "FREDERICK",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-09",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00808500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.