Travis Lamont Hendricks, D.O.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

25MB10117100 Issued in NJ

Practice address

9 Hospital Dr Ste B4
Toms River, NJ 08755-6425

Phone

(732) 905-6635

Fax

(732) 905-6643

NPI assigned

Apr 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Infectious Disease

Education

Rowan University School of Osteopathic Medicine, 2012

Medicare assignment

May accept Medicare assignment

Group practices

Ocean County Board of HealthGroup PAC ID 9931108180, 6 clinicians

Infectious Diseases Professionals LLCGroup PAC ID 1355341546, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Medical Center Hospital, Toms River, NJ, CCN 310041

Merit-based Incentive Payment System (MIPS)

Final score

80.22 of 100Reported as group

Quality

59.41

Improvement activities

40

Cost

68.86

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Infectious Diseases Professionals LLC

  • Infectious Disease Physician
  • Lakewood, NJ
  • NPI 1851324875
  Medicare reassignment Care Compare group NPD
• Ocean County Board of Health

  • Infectious Disease Physician
  • Toms River, NJ
  • NPI 1235142753
  Medicare reassignment Care Compare group NPD
• Cardiology Associates of Ocean County

  • Cardiovascular Disease Physician
  • Brick, NJ
  • NPI 1093865677
  NPD (past)
• TX Telehealth PLLC

  • Family Medicine Physician
  • Whitehouse, TX
  • NPI 1245986090
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Medical Center Inc

  • General Acute Care Hospital
  • Toms River, NJ
  • NPI 1013010917
  Care Compare affiliation

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1487911012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 FAIRWAY CT APT L",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087017255",
            "telephone_number": "305-951-5523",
            "fax_number": "587-487-6166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HOSPITAL DR STE B4",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087556425",
            "telephone_number": "732-905-6635",
            "fax_number": "732-905-6643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "PA",
            "postal_code": "190133902",
            "country_code": "US",
            "telephone_number": "610-447-2000",
            "fax_number": "610-447-6373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "TRAVIS",
        "middle_name": "LAMONT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-20",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "OT014442",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MB10117100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregg Hecht-Cosloy, COTA/L
• Thomas James Heiry, PH.D.
• Helge HST LLC
• Hello Medical Supplies LLC
• Hematology Oncology Associates of Ocean County,LLC
• Simcha Henkin
• Maria Hennigan, LCSW
• Christian Henriksen, MD
• Henry J. Simon, MD LLC
• Henry Kong MD

• Infectious Disease Physician in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Infectious Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.