Organization Active NPI

Anchorage Spine & Physical Therapy Center LLC

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1720407844
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00671800 Issued in NJ
Legal business name
ANCHORAGE SPINE & PHYSICAL THERAPY CENTER LLC
Practice address
1747 Hooper Ave
Suite 15
Toms River, NJ 08753-8165
Phone
(732) 447-7990
NPI assigned
Apr 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Authorized official

Name
Dino Derobertis, DC
Title
Partner
Phone
(732) 477-7990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 38MC00671800 NJ Primary

Addresses

Primary practice location

1747 Hooper Ave
Suite 15
Toms River, NJ 08753-8165

Mailing address

1747 Hooper Ave
Suite 15
Toms River, NJ 08753-8165

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401840000000",
    "number": "1720407844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 HOOPER AVE",
            "address_2": "SUITE 15",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1747 HOOPER AVE",
            "address_2": "SUITE 15",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087538165",
            "telephone_number": "732-447-7990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORAGE SPINE & PHYSICAL THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-16",
        "last_updated": "2014-06-04",
        "status": "A",
        "authorized_official_last_name": "DEROBERTIS",
        "authorized_official_first_name": "DINO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "732-477-7990",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00671800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.