Organization Active NPI

Atlantic Shore Chiropractic LLC

  • Health Service Clinic/Center
  • Spring Lake, NJ
National Provider Identifier
1508369158
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
38MC00436600 Issued in NJ
Legal business name
ATLANTIC SHORE CHIROPRACTIC LLC
Practice address
1325 Warren Ave Ste 8
Spring Lake, NJ 07762-2567
Phone
(845) 774-6810
NPI assigned
Mar 9, 2018
Last updated
Mar 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Dr. Kenneth Tobey, DCNPI 1710957006
Title
Chiropractor
Phone
(845) 774-6810

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 38MC00436600 NJ Primary

Addresses

Primary practice location

1325 Warren Ave Ste 8
Spring Lake, NJ 07762-2567

Mailing address

1325 Warren Ave Ste 8
Spring Lake, NJ 07762-2567
Phone (845) 774-6810

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180424000179 NJ Part B Supplier - Clinic/Group Practice 3375806482 Receives reassigned benefits from 1 practitioner
Practice locations: Wall, NJ

National Provider Directory

National Provider Directory

Locations

1325 Warren Ave
Ste 8
Spring Lake, NJ 07762
Phone (845) 774-6810

1325 Warren Ave
Ste B
Spring Lake, NJ 07762
Phone (732) 359-7716

1540 Highway 138
Ste 203
Wall, NJ 07719
Phone (732) 359-7716

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1508369158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 WARREN AVE STE 8",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622567",
            "telephone_number": "845-774-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 WARREN AVE STE 8",
            "city": "SPRING LAKE",
            "state": "NJ",
            "postal_code": "077622567",
            "telephone_number": "845-774-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SHORE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "TOBEY",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "845-774-6810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NJ",
            "license": "38MC00436600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Lake, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.