Organization Active NPI

Central Jersey Lordex Spine Institute

  • Physical Therapist
  • Matawan, NJ
National Provider Identifier
1306891544
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00984400 Issued in NJ
Legal business name
CENTRAL JERSEY LORDEX SPINE INSTITUTE
Practice address
400 Belchase Dr
Suite 404
Matawan, NJ 07747-9731
Phone
(732) 290-8950
Fax
(732) 290-8952
NPI assigned
May 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Richard Therkelsen, D.C.
Title
Owner
Phone
(732) 290-8950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00166700 NJ
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 40QA00984400 NJ Primary

Addresses

Primary practice location

400 Belchase Dr
Suite 404
Matawan, NJ 07747-9731

Mailing address

400 Belchase Dr
Suite 404
Matawan, NJ 07747-9731
Phone (732) 290-8950

National Provider Directory

National Provider Directory

Locations

400 Belchase Dr
Ste 404
Matawan, NJ 07747
Phone (732) 290-8950

3883 Route 516
Old Bridge, NJ 08857
Phone (732) 290-8950

3883 Route 516
#C
Old Bridge, NJ 08857
Phone (732) 290-8950

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1306891544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BELCHASE DR",
            "address_2": "SUITE 404",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479731",
            "telephone_number": "732-290-8950",
            "fax_number": "732-290-8952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BELCHASE DR",
            "address_2": "SUITE 404",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077479731",
            "telephone_number": "732-290-8950",
            "fax_number": "732-290-8952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL JERSEY LORDEX SPINE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "THERKELSEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-290-8950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00166700",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00984400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matawan, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.