Phillip Petris, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00547900 Issued in NJ

Practice address

551 Lakehurst Rd FL 1
Toms River, NJ 08755

Phone

(732) 678-6785

NPI assigned

May 14, 2017

Sex

Male

Sole proprietor

Yes

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

Life Chiropractic College, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Petris Chiropractic LLC

  • Chiropractor
  • Toms River, NJ
  • NPI 1891333431
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1144757774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LAKEHURST RD FL 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558044",
            "telephone_number": "732-678-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LAKEHURST RD FL 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08755",
            "telephone_number": "732-678-6785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1747 Hooper Ave Ste 15",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087538165",
            "country_code": "US",
            "telephone_number": "732-228-7273",
            "fax_number": "732-503-4542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETRIS",
        "first_name": "PHILLIP",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-14",
        "last_updated": "2022-07-21",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00547900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russell D Petranto, D.P.M.
• Christina Petrauskas, APN
• Erin Alexis Petrillo, APN
• John A Petrillo, MD
• Petris Chiropractic LLC
• Dominick Petronico, DPT
• Gina Petrucelli
• Cathrine Petty, LSW
• Carolyn Pfeiffer, RN
• Darelle A Pfeiffer, D.P.M.

• Chiropractor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.