Organization Active NPI

Atlantic Chiro Care, PC

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1245550342
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MCOO587700 Issued in NJ
Legal business name
ATLANTIC CHIRO CARE, PC
Practice address
2119 Whitesville Rd
Toms River, NJ 08755-2600
Phone
(732) 370-7880
Fax
(732) 370-2040
NPI assigned
Jun 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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

Authorized official

Name
Dr. Norman W Eastburn, DCNPI 1013056670
Title
President
Phone
(732) 370-7880

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MCOO587700 NJ Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00931700 NJ

Addresses

Primary practice location

2119 Whitesville Rd
Toms River, NJ 08755-2600

Mailing address

2119 Whitesville Rd
Toms River, NJ 08755-2600
Phone (732) 370-7880

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100823000555 NJ Part B Supplier - Clinic/Group Practice 9537293899 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

147 Route 70
Ste 2
Toms River, NJ 08755
Phone (732) 370-3300

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276214400000",
    "number": "1245550342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 WHITESVILLE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552600",
            "telephone_number": "732-370-7880",
            "fax_number": "732-370-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 WHITESVILLE RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087552600",
            "telephone_number": "732-370-7880",
            "fax_number": "732-370-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC CHIRO CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A",
        "authorized_official_last_name": "EASTBURN",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "732-370-7880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MCOO587700",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00931700",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.