Organization Active NPI

Mundie Chiropractic

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1629618020
Registry record updated Aug 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
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

Updated by the provider on Aug 13, 2021

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

Authorized official

Name
Eric Mundie, DCNPI 1669915435
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)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1669915435OtherNPI
38MC00739700OtherNJCHIROPRACTIC LICENSE NUMBER

Other names 1

  • Shore Spine and Sports Chiropractic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210820001724 NJ Part B Supplier - Clinic/Group Practice 8022413582 Receives reassigned benefits from 1 practitioner
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.