Individual provider Active NPI

Lisa A Morreale-Fitzpatrick, D.C.

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1538154265
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC4353 Issued in NJ
Practice address
1184 Fischer Blvd
Suite 1B
Toms River, NJ 08753-3089
Phone
(732) 288-0500
Fax
(732) 288-0550
NPI assigned
Sep 19, 2005
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC4353 NJ Primary

Addresses

Primary practice location

1184 Fischer Blvd
Suite 1B
Toms River, NJ 08753-3089

Mailing address

1184 Fischer Blvd
Suite 1B
Toms River, NJ 08753-3089
Phone (732) 288-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240903001166 NJ Practitioner - Chiropractic 7214476316 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC4353NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Fitzpatrick Chiropractic LLC Chiropractor CurrentSince Aug 1, 2024 Accepting new patients

Locations

1184 Fischer Blvd
Ste 1B
Toms River, NJ 08753
Phone (732) 288-0500

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1538154265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 FISCHER BLVD",
            "address_2": "SUITE 1B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533089",
            "telephone_number": "732-288-0500",
            "fax_number": "732-288-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 FISCHER BLVD",
            "address_2": "SUITE 1B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533089",
            "telephone_number": "732-288-0500",
            "fax_number": "732-288-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORREALE-FITZPATRICK",
        "first_name": "LISA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC4353",
            "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 Aug 19, 2024; 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.