Individual provider Active NPI

Thomas Michael Cawley Jr., DC

  • Chiropractor
  • Iselin, NJ
National Provider Identifier
1720163801
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00241100 Issued in NJ
Practice address
1153 Green Street
Iselin, NJ 08830
Phone
(732) 283-3995
Fax
(732) 283-3615
NPI assigned
Oct 26, 2006
Last updated
Dec 1, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00241100 NJ Primary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X0112471NYMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228089600000",
    "number": "1720163801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 GREEN STREET",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-283-3995",
            "fax_number": "732-283-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1153 GREEN STREET",
            "city": "ISELIN",
            "state": "NJ",
            "postal_code": "08830",
            "telephone_number": "732-283-3995",
            "fax_number": "732-283-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAWLEY",
        "first_name": "THOMAS",
        "middle_name": "MICHAEL",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00241100",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X0112471",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iselin, NJ

Sources for this page

Verify at the official NPI Registry.