Individual provider Active NPI

Alexandrea Robin Nickel, B.S., D.C.

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1467808931
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00734900 Issued in NJ
Practice address
511 Dover Rd Ste 3
Toms River, NJ 08757
Phone
(732) 966-2818
NPI assigned
May 13, 2016
Last updated
Jun 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00734900 NJ Primary

Addresses

Primary practice location

511 Dover Rd Ste 3
Toms River, NJ 08757

Mailing address

511 Dover Rd
Toms River, NJ 08757-5404
Phone (732) 966-2818

Other practice location 1

143 W Barnegat Ave
Ocean Gate, NJ 08740-1307
Phone (732) 966-2818

Other practice location 2

511 Dover Rd Ste 3
Toms River, NJ 08757
Phone (732) 966-2818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180206002266 NJ Practitioner - Chiropractic 2163782475 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

480 Route 530
Whiting, NJ 08759-2944
Phone (732) 966-2818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
38MC00734900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
A. Nickel Chiropractic LLC Chiropractor CurrentSince Jan 2, 2018 Accepting new patients

Locations

511 Dover Rd
Toms River, NJ 08757
Phone (609) 752-1048

511 Dover Rd
Ste 3
Toms River, NJ 08757
Phone (732) 966-2818

480 Route 530
Whiting, NJ 08759
Phone (732) 966-2818

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, 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": "1463097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623283200000",
    "number": "1467808931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 DOVER RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087575404",
            "telephone_number": "732-966-2818",
            "fax_number": "732-399-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 DOVER RD STE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "08757",
            "telephone_number": "732-966-2818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "143 W Barnegat Ave",
            "address_purpose": "LOCATION",
            "city": "Ocean Gate",
            "state": "NJ",
            "postal_code": "087401307",
            "country_code": "US",
            "telephone_number": "732-966-2818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "511 Dover Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "08757",
            "country_code": "US",
            "telephone_number": "732-966-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICKEL",
        "first_name": "ALEXANDREA",
        "middle_name": "ROBIN",
        "name_prefix": "Miss",
        "credential": "B.S., D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-13",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00734900",
            "primary": true
        }
    ],
    "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 10, 2021; 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.