Individual provider Active NPI

Jack L Vuyovich, D.C.

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1679594428
Registry record updated Apr 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NJMC04451 Issued in NJ
Practice address
1868 Hooper Avenue
Unit 6
Toms River, NJ 08753-8175
Phone
(732) 255-8000
Fax
(732) 255-4580
NPI assigned
Jul 21, 2006
Last updated
Apr 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NJMC04451 NJ Primary

Addresses

Primary practice location

1868 Hooper Avenue
Unit 6
Toms River, NJ 08753-8175

Mailing address

1868 Hooper Avenue
Unit 6
Toms River, NJ 08753-8175
Phone (732) 255-8000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060822000139 NJ Practitioner - Chiropractic 6608879200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1749 Hooper Ave
Suite 201 C
Toms River, NJ 08753-8175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
NJMC04451NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
One Time Wellness LLC Chiropractor CurrentSince Aug 1, 2015 Accepting new patients
Ri-Jac,Inc. Chiropractor Past Accepting new patients
North Dover Chiropractic Wellness Centre Inc Chiropractor Past Accepting new patients

Locations

1749 Hooper Ave
Ste 201C
Toms River, NJ 08753
Phone (732) 255-8585

1868 Hooper Ave
Ste 6
Toms River, NJ 08753
Phone (732) 255-8000

Organizations & group practices 4

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272240000000",
    "number": "1679594428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 HOOPER AVENUE",
            "address_2": "UNIT 6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538175",
            "telephone_number": "732-255-8000",
            "fax_number": "732-255-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 HOOPER AVENUE",
            "address_2": "UNIT 6",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538175",
            "telephone_number": "732-255-8000",
            "fax_number": "732-255-4580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VUYOVICH",
        "first_name": "JACK",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "NJMC04451",
            "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 Apr 26, 2010; 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.