Thomas Michael Cawley Jr., DC

Individual provider Active NPI Chiropractor · Iselin, NJ

NPI 1720163801 · NPPES record last updated Dec 1, 2008

Key facts

NPI
1720163801
Entity type
Individual (NPI type 1)
Primary specialty
Chiropractor 111N00000X
License
38MC00241100 (NJ)
Practice address
1153 Green Street
Iselin, NJ 08830
Phone
(732) 283-3995
Fax
(732) 283-3615
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
Yes

Medicare Care Compare profile

Specialty
Chiropractic
Also: Diagnostic Radiology
Education
Sherman College of Straight Chiropractic, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1153 Green St
Iselin, NJ 08830-2035
Phone (732) 283-3995

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090306000198 NJ Practitioner - Chiropractic
Practitioner - Diagnostic Radiology
9739245358 Practice locations: Iselin, NJ

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
X0112471NYMDChiropractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00241100 NJ Yes
Chiropractor 111N00000X X0112471 NY

Addresses

Primary practice location

1153 Green Street
Iselin, NJ 08830

Mailing address

1153 Green Street
Iselin, NJ 08830
Phone (732) 283-3995

Other identifiers

IdentifierTypeStateIssuer
222483048OtherNJTX ID

Other providers in Iselin, NJ

All providers in Iselin, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.