Individual provider Active NPI

Kevin Dale Toss, DC

  • Chiropractor
  • Clifton, NJ
National Provider Identifier
1336320274
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00627900 Issued in NY
Practice address
1135 Clifton Avenue
Suite 103
Clifton, NJ 07013
Phone
(973) 777-2536
Fax
(973) 777-6963
NPI assigned
Nov 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00627900 NY Primary

Addresses

Primary practice location

1135 Clifton Avenue
Suite 103
Clifton, NJ 07013

Mailing address

1135 Clifton Avenue
Suite 103
Clifton, NJ 07013
Phone (973) 777-2536

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041021000791 NJ Practitioner - Chiropractic 6800857962 Reassigns benefits to 1 organization
I20090806000387 NY Practitioner - Chiropractic 6800857962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1135 Clifton Ave
Suite 103
Clifton, NJ 07013-3643
Phone (973) 777-2536

2955 Veterans W Rd
2A1
Staten Island, NY 10309-2515
Phone (718) 966-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00627900NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Body Chiropractic PC Chiropractor CurrentSince Jul 28, 2004 Accepting new patients
Island Active Release and Sports Chiropractic Chiropractor CurrentSince Aug 19, 2009 Accepting new patients

Locations

1135 Clifton Ave
Ste 103
Clifton, NJ 07013
Phone (973) 777-2536

1135 Clifton Ave
Clifton, NJ 07013
Phone (973) 777-2536

2955 Veterans Rd W
#2A1
Staten Island, NY 10309
Phone (718) 966-7000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1336320274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVENUE",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-777-2536",
            "fax_number": "973-777-6963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CLIFTON AVENUE",
            "address_2": "SUITE 103",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "07013",
            "telephone_number": "973-777-2536",
            "fax_number": "973-777-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOSS",
        "first_name": "KEVIN",
        "middle_name": "DALE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "38MC00627900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; 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.