Nettis Family Chiropractic, L.L.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

MC04515 Issued in NJ

Legal business name

NETTIS FAMILY CHIROPRACTIC, L.L.C.

Practice address

1056 Broadway
West Long Branch, NJ 07764-1308

Phone

(732) 229-2000

NPI assigned

Aug 29, 2007

Organization subpart

No

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

Authorized official

Name

Thomas NettisNPI 1720142292

Title

DC, Owner

Phone

(732) 229-2000

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Thomas Dominick Nettis III, D.C.

  • Chiropractor
  • West Long Branch, NJ
  • NPI 1720142292
  NPD (past) Authorized official

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1740474188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 BROADWAY",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641308",
            "telephone_number": "732-229-2000"
        },
        {
            "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": {
        "organization_name": "NETTIS FAMILY CHIROPRACTIC, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "NETTIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DC, OWNER",
        "authorized_official_telephone_number": "732-229-2000"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC04515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "080106",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Henry Nardea, DDS
• Mark A. Nasr, D.D.S.
• Cheryl A Nastasio, MSW, LCSW
• John F Natale, LCADC
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• Thareem Nisa

• Chiropractor in West Long Branch, NJ
• Providers in West Long Branch, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.

Verify at the official NPI Registry.