Individual provider Active NPI

Edward Gerard Barbieri III, D.C

  • Chiropractor
  • Surf City, NJ
National Provider Identifier
1619360856
Registry record updated Mar 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00724000 Issued in NJ
Practice address
300 N 5TH St
Surf City, NJ 08008-5246
Phone
(908) 399-8870
NPI assigned
Mar 12, 2015
Last updated
Mar 12, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00724000 NJ Primary

Addresses

Primary practice location

300 N 5TH St
Surf City, NJ 08008-5246

Mailing address

300 N 5TH St
Surf City, NJ 08008-5246
Phone (908) 399-8870

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240829004507 NJ Practitioner - Chiropractic 2668911926 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

509 N Main St
Manahawkin, NJ 08050-3021
Phone (609) 978-6565

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00724000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Aug 5, 2024 Accepting new patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Aug 5, 2024 Accepting new patients

Locations

509 N Main St
Manahawkin, NJ 08050
Phone (609) 978-6565

106 Apple St
Ste 100C
Tinton Falls, NJ 07724
Phone (732) 747-5022

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, 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": "1426118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426118400000",
    "number": "1619360856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 5TH ST",
            "city": "SURF CITY",
            "state": "NJ",
            "postal_code": "080085246",
            "telephone_number": "908-399-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 5TH ST",
            "city": "SURF CITY",
            "state": "NJ",
            "postal_code": "080085246",
            "telephone_number": "908-399-8870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBIERI",
        "first_name": "EDWARD",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-12",
        "last_updated": "2015-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00724000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surf City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.