Active NPI
Thomas Dominick Nettis III, D.C.
- Chiropractor
- West Long Branch, NJ
National Provider Identifier
1720142292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- MC04515
- Practice address
- 1056 Broadway
West Long Branch, NJ 07764-1308 - Phone
- (732) 229-2000
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | MC04515 | NJ | Primary |
Addresses
Primary practice location
1056 Broadway
West Long Branch, NJ 07764-1308
Mailing address
41 Fredric Dr
Ocean, NJ 07712-7235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MC04515 | NJ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nettis Family Chiropractic, L.L.C. | Chiropractor | Past | Accepting new patients |
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.
-
- Chiropractor
- West Long Branch, NJ
- NPI 1740474188
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1720142292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 FREDRIC DR",
"city": "OCEAN",
"state": "NJ",
"postal_code": "077127235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 BROADWAY",
"city": "WEST LONG BRANCH",
"state": "NJ",
"postal_code": "077641308",
"telephone_number": "732-229-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NETTIS",
"first_name": "THOMAS",
"middle_name": "DOMINICK",
"name_suffix": "III",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "MC04515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Long Branch, NJ
Sources for this page
- 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.