Wharfside Chiropractic Center, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

38MC00317300 Issued in NJ

Legal business name

WHARFSIDE CHIROPRACTIC CENTER, INC

Practice address

2 Hollywood Blvd
Ste. a
Forked River, NJ 08731-4839

Phone

(609) 971-7733

Fax

(609) 693-7623

NPI assigned

May 24, 2011

Organization subpart

No

Name

Dr. Thomas C McGillick, D.C.NPI 1578649182

Title

Doctor

Phone

(609) 971-7733

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

• Thomas C McGillick, D.C.

  • Chiropractor
  • Forked River, NJ
  • NPI 1578649182

  NJ

  Medicare reassignment NPD Authorized official
• Raymond Anthony Robinson

  • Chiropractor
  • Forked River, NJ
  • NPI 1427526300

  NJ

  Medicare reassignment NPD

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2011.

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306195200000",
    "number": "1174816243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 HOLLYWOOD BLVD",
            "address_2": "STE. A",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314839",
            "telephone_number": "609-971-7733",
            "fax_number": "609-693-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 HOLLYWOOD BLVD",
            "address_2": "STE. A",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087314839",
            "telephone_number": "609-971-7733",
            "fax_number": "609-693-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHARFSIDE CHIROPRACTIC CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A",
        "authorized_official_last_name": "MCGILLICK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "609-971-7733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "38MC00317300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Christopher Vile, MSPT
• Casey Wall, DC
• Ashley Walther
• Marissa Washburn
• Waves of Life Psychotherapy LLC
• Allison Whitam
• Sara Beth Wilbert, OTR
• William K. Power, MD, PA
• George Williams, M.D.
• Erin Kathleen Wimer, MSPT, DPT

• All providers in Forked River, NJ
• Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.