Individual provider Active NPI

Joseph Scordo, D.C.

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1043415078
Registry record updated Jun 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00649600 Issued in NJ
Practice address
810 Hooper Ave
Toms River, NJ 08753-7719
Phone
(732) 281-3200
Fax
(732) 276-9885
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X F1-0000674 DE
Chiropractor 111N00000X 38MC00649600 NJ Primary

Addresses

Primary practice location

810 Hooper Ave
Toms River, NJ 08753-7719

Mailing address

810 Hooper Ave
Toms River, NJ 08753-7719
Phone (732) 281-3200

Other identifiers 4

IdentifierTypeStateIssuer
1618513OtherDEFIRST HEALTH NETWORK
3530091000OtherDEBLUE CROSS BLUE SHIELD
8008847OtherDECIGNA
3530091000OtherDEAMERIHEALTH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150320001861 NJ Practitioner - Chiropractic 9739138694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2004
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)

810 Hooper Ave
Suite 1
Toms River, NJ 08753-7719
Phone (732) 281-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F1-0000674DEMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Apr 30, 2018 Accepting new patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Apr 30, 2018 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

810 Hooper Ave
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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338940800000",
    "number": "1043415078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537719",
            "telephone_number": "732-281-3200",
            "fax_number": "732-276-9885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 HOOPER AVE",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087537719",
            "telephone_number": "732-281-3200",
            "fax_number": "732-276-9885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCORDO",
        "first_name": "JOSEPH",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2012-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "DE",
            "license": "F1-0000674",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00649600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH NETWORK",
            "identifier": "1618513",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3530091000",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8008847",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "3530091000",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2012; 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.