Active NPI
Mundie Chiropractic
- Chiropractor
- Toms River, NJ
National Provider Identifier
1629618020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- MUNDIE CHIROPRACTIC
- Practice address
- 2 Garfield Ave
Toms River, NJ 08753-7172 - Phone
- (732) 503-8332
- NPI assigned
- Jan 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Mundie, DC
- Title
- Owner/Provider
- Phone
- (732) 503-8332
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
2 Garfield Ave
Toms River, NJ 08753-7172
Mailing address
312 Prospect Ave
Pine Beach, NJ 08741-1045
Phone (732) 503-8332
Other practice location 1
800 Hooper Ave
Toms River, NJ 08753-7719
Phone (732) 503-8332
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669915435 | Other | NPI | |
| 38MC00739700 | Other | NJ | CHIROPRACTIC LICENSE NUMBER |
Other names 1
- Shore Spine and Sports Chiropractic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Toms River, NJ
- NPI 1669915435
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628812800000",
"number": "1629618020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 PROSPECT AVE",
"city": "PINE BEACH",
"state": "NJ",
"postal_code": "087411045",
"telephone_number": "732-503-8332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 GARFIELD AVE",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "087537172",
"telephone_number": "732-503-8332"
}
],
"practiceLocations": [
{
"address_1": "800 Hooper Ave",
"address_purpose": "LOCATION",
"city": "Toms River",
"state": "NJ",
"postal_code": "087537719",
"country_code": "US",
"telephone_number": "732-503-8332",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MUNDIE CHIROPRACTIC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-14",
"last_updated": "2021-08-13",
"certification_date": "2021-08-09",
"status": "A",
"authorized_official_last_name": "MUNDIE",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "732-503-8332",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1669915435",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHIROPRACTIC LICENSE NUMBER",
"identifier": "38MC00739700",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Shore Spine and Sports Chiropractic",
"code": "3",
"type": "Doing Business As"
}
]
}
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 13, 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.