Individual provider Active NPI

Thomas Brett Ross, DC

  • Chiropractor
  • Mercerville, NJ
National Provider Identifier
1215998950
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5580 Issued in NJ
Practice address
1301 Whitehorse-Mercerville Road
Mercerville, NJ 08619
Phone
(609) 581-1300
Fax
(609) 581-9026
NPI assigned
Mar 31, 2006
Last updated
Oct 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5580 NJ Primary

Addresses

Primary practice location

1301 Whitehorse-Mercerville Road
Mercerville, NJ 08619

Mailing address

1301 Whitehorse Mercerville Rd
Suite 200
Mercerville, NJ 08619-3826
Phone (609) 581-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060508000316 NJ Practitioner - Chiropractic 5799795761 Practice locations: Mercerville, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1301 Whitehorse Mercerville Rd
Mercerville, NJ 08619-3826

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5580NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Petito-Ross Chiropractic Center, P.C. Chiropractor PastSince Oct 1, 1985 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317772800000",
    "number": "1215998950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 200",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193826",
            "telephone_number": "609-581-1300",
            "fax_number": "609-581-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 WHITEHORSE-MERCERVILLE ROAD",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "08619",
            "telephone_number": "609-581-1300",
            "fax_number": "609-581-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "THOMAS",
        "middle_name": "BRETT",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2011-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "5580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.