Active NPI
Timothy Joseph Hayes, DC
- Chiropractor
- Freehold, NJ
National Provider Identifier
1730187246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00265700
- Practice address
- 800 W Main St
Suite 105
Freehold, NJ 07728-2554 - Phone
- (732) 577-9700
- Fax
- (732) 577-9790
- NPI assigned
- Jul 8, 2005
- 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 | 38MC00265700 | NJ | Primary |
Addresses
Primary practice location
800 W Main St
Suite 105
Freehold, NJ 07728-2554
Mailing address
800 W Main St
Ste 105
Freehold, NJ 07728-2555
Phone (732) 577-9700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010287 | Other | NJ | GHI |
| P633703 | Other | NJ | OXFORD |
| 0476030 | Other | NJ | AETNA |
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
Interoperability endpoints
- https://api.platform.athenahealth.com/7625/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1482883200000",
"number": "1730187246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 W MAIN ST",
"address_2": "STE 105",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282555",
"telephone_number": "732-577-9700",
"fax_number": "732-577-9790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 W MAIN ST",
"address_2": "SUITE 105",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077282554",
"telephone_number": "732-577-9700",
"fax_number": "732-577-9790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "TIMOTHY",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2016-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00265700",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0010287",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P633703",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0476030",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Freehold, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.