Individual provider Active NPI

Eric Mundie

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1669915435
Registry record updated Jun 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00739700 Issued in NJ
Practice address
2 Garfield Ave
Toms River, NJ 08753-7172
Phone
(732) 503-8332
NPI assigned
Nov 29, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00739700 NJ Primary

Addresses

Primary practice location

2 Garfield Ave
Toms River, NJ 08753-7172

Mailing address

312 Prospect Ave
Pine Beach, NJ 08741-1045
Phone (908) 839-8044

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200820002543 NJ Practitioner - Chiropractic 6608294442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Garfield Ave
Toms River, NJ 08753-7172
Phone (732) 503-8332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mundie Chiropractic Chiropractor CurrentSince Jul 1, 2021 Accepting new patients
Back and Neck Center of Brick LLC Chiropractor PastSince Jan 18, 2010 Accepting new patients
Beam Chiropractic Health Center Chiropractor PastSince Jun 7, 2015 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1669915435",
    "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": "908-839-8044"
        },
        {
            "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": [],
    "basic": {
        "last_name": "MUNDIE",
        "first_name": "ERIC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-29",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00739700",
            "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 Jun 28, 2021; 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.