Individual provider Active NPI

Kenneth W. Tobey, D.C.

  • Chiropractor
  • Monroe, NY
National Provider Identifier
1710957006
Registry record updated Nov 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007350 Issued in NY
Practice address
18 Lake St
Monroe, NY 10950-3504
Phone
(845) 782-5770
Fax
(845) 782-9061
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X007350 NY Primary

Addresses

Primary practice location

18 Lake St
Monroe, NY 10950-3504

Mailing address

18 Lake St
Monroe, NY 10950-3504
Phone (845) 782-5770

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180424000316 NJ Practitioner - Chiropractic 6103907365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
National College of Chiropractic, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1540 Hwy 138
Wall, NJ 07719-3765
Phone (732) 359-7716

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X007350NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Shore Chiropractic LLC CurrentSince Feb 7, 2018 Accepting new patients

Locations

1325 Warren Ave
Ste 8
Spring Lake, NJ 07762
Phone (845) 774-6810

1540 Highway 138
Ste 203
Wall, NJ 07719
Phone (732) 359-7716

Organizations & group practices 1

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195603200000",
    "number": "1710957006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LAKE ST",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503504",
            "telephone_number": "845-782-5770",
            "fax_number": "845-782-9061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LAKE ST",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109503504",
            "telephone_number": "845-782-5770",
            "fax_number": "845-782-9061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBEY",
        "first_name": "KENNETH",
        "middle_name": "W.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2007; 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.