Individual provider Active NPI

Thomas J Joe, D.C.

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1750458477
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00557200 Issued in NJ
Practice address
89 Riverwood Dr
Toms River, NJ 08755-1292
Phone
(732) 818-1999
Fax
(732) 286-2226
NPI assigned
Nov 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00557200 NJ Primary
Chiropractor 111N00000X 2250 NC
Chiropractor 111N00000X 1927 SC

Addresses

Primary practice location

89 Riverwood Dr
Toms River, NJ 08755-1292

Mailing address

89 Riverwood Dr
Toms River, NJ 08755-1292
Phone (732) 818-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120423000583 NJ Practitioner - Chiropractic 0446411227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colonia Spine and Wellness Center PAGroup PAC ID 8022289834, 6 clinicians

Practice addresses (Care Compare)

15 Prospect LN
Suite 1D
Colonia, NJ 07067-3048
Phone (732) 827-0028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2250NCMDPsychologist
1927SCMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Colonia Spine & Wellness Center PA Chiropractor CurrentSince Dec 19, 2018 Accepting new patients

Locations

15 Prospect Ln
Ste 1D
Colonia, NJ 07067
Phone (732) 661-1121

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1750458477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 RIVERWOOD DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551292",
            "telephone_number": "732-818-1999",
            "fax_number": "732-286-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 RIVERWOOD DR",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087551292",
            "telephone_number": "732-818-1999",
            "fax_number": "732-286-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOE",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00557200",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "2250",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "1927",
            "primary": false
        }
    ],
    "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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.