Individual provider Active NPI

Tomas F Ulrich, DC

  • Chiropractor
  • Lawrenceville, NJ
National Provider Identifier
1508960196
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00305300 Issued in NJ
Practice address
558 Lawrence Square Blvd S
Lawrenceville, NJ 08648-2674
Phone
(609) 585-6100
Fax
(609) 581-2103
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 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 38MC00305300 NJ Primary

Addresses

Primary practice location

558 Lawrence Square Blvd S
Lawrenceville, NJ 08648-2674

Mailing address

558 Lawrence Square Blvd S
Lawrenceville, NJ 08648-2674
Phone (609) 585-6100

Other practice location 1

2103 Whitehorse Mercerville Rd
Hamilton, NJ 08619
Phone (609) 890-2222

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tomas.ulrich@pbs.eclinicaldirectplus.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040616000250 NJ Practitioner - Chiropractic 3072597137 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00305300NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fischer Chiropractor Center, a Professional Association Chiropractor CurrentSince Feb 21, 2012 Accepting new patients
Hamilton Healthcare Center, PC PastSince Oct 26, 2002 Accepting new patients

Locations

320 Whitehorse Ave
Trenton, NJ 08610
Phone (609) 525-9222

Interoperability endpoints

  • Direct secure messaging: tomas.ulrich@pbs.eclinicaldirectplus.com

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1508960196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 LAWRENCE SQUARE BLVD S",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482674",
            "telephone_number": "609-585-6100",
            "fax_number": "609-581-2103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 LAWRENCE SQUARE BLVD S",
            "city": "LAWRENCEVILLE",
            "state": "NJ",
            "postal_code": "086482674",
            "telephone_number": "609-585-6100",
            "fax_number": "609-581-2103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2103 Whitehorse Mercerville Rd",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "NJ",
            "postal_code": "08619",
            "country_code": "US",
            "telephone_number": "609-890-2222",
            "fax_number": "609-890-0715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULRICH",
        "first_name": "TOMAS",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00305300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tomas.ulrich@pbs.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "558 Lawrence Square Blvd S",
            "city": "Lawrenceville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086482674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrenceville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.