Timothy F Crowley, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04168 Issued in NJ

Practice address

2001 College Dr
#6
Clementon, NJ 08021

Phone

(856) 782-9500

Fax

(856) 782-1077

NPI assigned

Jul 14, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689690752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 COLLEGE DR",
            "address_2": "#6",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-782-9500",
            "fax_number": "856-782-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 COLLEGE DR",
            "address_2": "#6",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-782-9500",
            "fax_number": "856-782-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "TIMOTHY",
        "middle_name": "F",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0662686000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "938873",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED",
            "identifier": "1054080",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clementon Family Dentistry P C
• Clementon School District
• Marissa Leigh Coffield
• Skylar Cooper
• Stephanie Amanda Creitz
• Crystal Health Care Services Group Home
• Teresa Dang, RPH
• Dental of Clementon
• Benjamin James Diyenno, LAC
• Tracy Dos Santos Rocha, LPC

• Chiropractor in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.