Active NPI
Jeffery David Roessler, DC
- Chiropractor
- Toms River, NJ
National Provider Identifier
1609899897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC04585
- Practice address
- 77 Route 37 West
Toms River, NJ 08755 - Phone
- (732) 505-9113
- Fax
- (732) 505-5448
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC04585 | NJ | Primary |
Addresses
Primary practice location
77 Route 37 West
Toms River, NJ 08755
Mailing address
77 Route 37 West
Toms River, NJ 08755
Phone (732) 505-9113
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7058501 | Medicaid | NJ | |
| 729573 | Other | NJ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC04585 | NJ | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609899897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 ROUTE 37 WEST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08755",
"telephone_number": "732-505-9113",
"fax_number": "732-505-5448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 ROUTE 37 WEST",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08755",
"telephone_number": "732-505-9113",
"fax_number": "732-505-5448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROESSLER",
"first_name": "JEFFERY",
"middle_name": "DAVID",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC04585",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7058501",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "729573",
"state": "NJ"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.