Organization Active NPI

Tracy Tomaino, DC, LLC

  • Chiropractor
  • Red Bank, NJ
National Provider Identifier
1215395108
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00482300 Issued in NJ
Legal business name
TRACY TOMAINO, DC, LLC
Practice address
130 Maple Ave Ste 1a
Red Bank, NJ 07701-1729
Phone
(732) 943-4333
NPI assigned
Feb 5, 2016
Last updated
Mar 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Authorized official

Name
Dr. Tracy Tomaino, DCNPI 1356529796
Title
Owner
Phone
(732) 943-4333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00482300 NJ Primary

Addresses

Primary practice location

130 Maple Ave Ste 1a
Red Bank, NJ 07701-1729

Mailing address

130 Maple Ave Ste 1a
Red Bank, NJ 07701-1729
Phone (732) 943-4333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160229001412 NJ Part B Supplier - Clinic/Group Practice 2567767585 Receives reassigned benefits from 1 practitioner
Practice locations: Red Bank, NJ

National Provider Directory

National Provider Directory

Locations

14 Woodward Dr
Old Bridge, NJ 08857
Phone (732) 360-1100

14 Woodward Dr
Ste A
Old Bridge, NJ 08857
Phone (732) 334-5800

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647216000000",
    "number": "1215395108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE STE 1A",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011729",
            "telephone_number": "732-943-4333",
            "fax_number": "732-943-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 MAPLE AVE STE 1A",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011729",
            "telephone_number": "732-943-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY TOMAINO, DC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-05",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-14",
        "status": "A",
        "authorized_official_last_name": "TOMAINO",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-943-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00482300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; 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.