Active NPI
Robert David Thompson, D.C. , C.C.S.P.
- Chiropractor
- Forked River, NJ
National Provider Identifier
1356400543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00626200
- Practice address
- 424 S Main St
Forked River, NJ 08731-4654 - Phone
- (609) 971-3500
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00626200 | NJ | Primary |
Addresses
Primary practice location
424 S Main St
Forked River, NJ 08731-4654
Mailing address
424 S Main St
Forked River, NJ 08731-4654
Phone (609) 971-3500
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9044802 | Other | NJ | PHCS PROVIDER NUMBER |
| P3395950 | Other | NJ | OXFORD PROVIDER NUMBER |
| 2348312000 | Other | NJ | AMERIHEALTH |
| 4881128 | Other | NJ | CIGNA PROVIDER NUMBER |
| 3646590 | Other | NJ | AETNA PROVIDER NUMBER |
| 0041424 | Medicaid | NJ | |
| 550861955 | Other | NJ | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thompson Chiropractic Center PC | Current | Accepting new patients |
Locations
411 US Highway 9
Ste 1
Lanoka Harbor, NJ 08734
Phone (609) 357-4428
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 and National Provider Directory roles.
-
- Sports Physician Chiropractor
- Lanoka Harbor, NJ
- NPI 1285965699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579737600000",
"number": "1356400543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 S MAIN ST",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087314654",
"telephone_number": "609-971-3500",
"fax_number": "609-971-3545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "424 S MAIN ST",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087314654",
"telephone_number": "609-971-3500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "ROBERT",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.C. , C.C.S.P.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2020-01-23",
"certification_date": "2020-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00626200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS PROVIDER NUMBER",
"identifier": "9044802",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "P3395950",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "2348312000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER NUMBER",
"identifier": "4881128",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "3646590",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0041424",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "550861955",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forked River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.