Active NPI
Robert C Gibbs, D.C.
- Chiropractor
- Somers Point, NJ
National Provider Identifier
1194882423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00474800
- Practice address
- 1512 Atkinson Rd
Somers Point, NJ 08244-1612 - Phone
- (609) 350-8085
- Fax
- (856) 692-1225
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00474800 | NJ | Primary |
Addresses
Primary practice location
1512 Atkinson Rd
Somers Point, NJ 08244-1612
Mailing address
1512 Atkinson Rd
Somers Point, NJ 08244-1612
Phone (609) 350-8085
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6824102 | Medicaid | NJ |
Other names 1
- Dr. Bob Gibbs
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050113000870 | NJ | Practitioner - Chiropractic | 9335198696 | Practice locations: Ventnor, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
6717 -19 Atlantic Ave
Ventnor, NJ 08406-2621
Phone (609) 822-1227
6717 Atlantic Ave
Suite 19
Ventnor City, NJ 08406-2621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman Chiropractic Holistic Health Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Ventnor City, NJ
- NPI 1881991909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338768000000",
"number": "1194882423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1512 ATKINSON RD",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082441612",
"telephone_number": "609-350-8085",
"fax_number": "856-692-1225"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1512 ATKINSON RD",
"city": "SOMERS POINT",
"state": "NJ",
"postal_code": "082441612",
"telephone_number": "609-350-8085",
"fax_number": "856-692-1225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIBBS",
"first_name": "ROBERT",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2012-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00474800",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6824102",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BOB",
"last_name": "GIBBS",
"prefix": "DR.",
"credential": "D.C.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Somers Point, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.