Jeff Croasdale, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00719400 Issued in NJ

Practice address

557 S Atlantic Ave
Aberdeen, NJ 07747-2258

Phone

(732) 997-4988

Fax

(732) 583-4704

NPI assigned

Aug 16, 2014

Last updated

Jan 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Sports Medicine of Aberdeen LLCGroup PAC ID 1456644236, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Spine & Sports Medicine of Aberdeen, LLC

  dba Northeast Spine & Sports Medicine

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Aberdeen, NJ
  • NPI 1457708737

  Chiropractor

  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1408147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1114326063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 HIGH ST",
            "city": "JACKSON",
            "state": "NJ",
            "postal_code": "085273328",
            "telephone_number": "732-539-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 S ATLANTIC AVE",
            "city": "ABERDEEN",
            "state": "NJ",
            "postal_code": "077472258",
            "telephone_number": "732-997-4988",
            "fax_number": "732-583-4704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROASDALE",
        "first_name": "JEFF",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-16",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00719400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• CPC Behavioral Healthcare
• CPC Behavioral Healthcare, Inc
• CPC Integrated Health, Inc.
• CPC Integrated Health, Inc.
• CPC Integrated Health, Inc.
• Kaitlyn Cuisinier, RBT
• Alison M D'Auguste, LCSW
• Dawn Maria D'Onofrio, MS
• Hem Dave, OTR/L
• Define Physical Therapy and Personal Care Inc

• Chiropractor in Aberdeen, NJ
• Providers in Aberdeen, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.