Individual provider Active NPI

Travis A Rode, DC

  • Chiropractor
  • Riverdale, NJ
National Provider Identifier
1306552641
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00796200 Issued in NJ
Practice address
7 Newark Pompton Tpke
Riverdale, NJ 07457-1142
Phone
(973) 831-1100
NPI assigned
Jan 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00796200 NJ Primary

Addresses

Primary practice location

7 Newark Pompton Tpke
Riverdale, NJ 07457-1142

Mailing address

7 Newark Pompton Tpke
Riverdale, NJ 07457-1142
Phone (973) 831-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230223002120 NJ Practitioner - Chiropractic 5193198018 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cornerstone Chiropractic and Rehabilitation Center, LLCGroup PAC ID 7416023171, 3 clinicians

Practice addresses (Care Compare)

7 Newark Pompton Tpke
Riverdale, NJ 07457-1142
Phone (973) 831-1100

7 Newark Pompton Turnpike
Riverdale, NJ 07457-1142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Chiropractic & Rehabilitation Center, LLC Chiropractor CurrentSince Feb 2, 2023 Accepting new patients
Cornerstone Medical Procedures LLC CurrentSince Feb 8, 2023 Accepting new patients

Locations

7 Newark Pompton Tpke
Riverdale, NJ 07457
Phone (973) 831-1100

Organizations & group practices 2

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": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1306552641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571142",
            "telephone_number": "973-831-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 NEWARK POMPTON TPKE",
            "city": "RIVERDALE",
            "state": "NJ",
            "postal_code": "074571142",
            "telephone_number": "973-831-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODE",
        "first_name": "TRAVIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00796200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.