Organization Active NPI

Dominic a. Riccio, D.C.

  • Chiropractor
  • Oakhurst, NJ
National Provider Identifier
1023288115
Registry record updated Mar 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00357800 Issued in NJ
Legal business name
DOMINIC A. RICCIO, D.C.
Practice address
1915 Highway 35
Oakhurst, NJ 07755-2714
Phone
(732) 531-3636
Fax
(732) 531-2999
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2008

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

Authorized official

Name
Dr. Dominic A. Riccio, D.C.NPI 1114971868
Title
Owner/Operator
Phone
(732) 531-3636

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00357800 NJ Primary

Addresses

Primary practice location

1915 Highway 35
Oakhurst, NJ 07755-2714

Mailing address

1915 Highway 35
Oakhurst, NJ 07755-2714
Phone (732) 531-3636

Other names 1

  • Shore Chiropractic Center Other name

National Provider Directory

National Provider Directory

Locations

1915 State Route 35
Oakhurst, NJ 07755
Phone (732) 531-3784

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204675200000",
    "number": "1023288115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 HIGHWAY 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552714",
            "telephone_number": "732-531-3636",
            "fax_number": "732-531-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 HIGHWAY 35",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552714",
            "telephone_number": "732-531-3636",
            "fax_number": "732-531-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINIC A. RICCIO, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A",
        "authorized_official_last_name": "RICCIO",
        "authorized_official_first_name": "DOMINIC",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "732-531-3636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00357800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Chiropractic Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.