Individual provider Active NPI

Timothy James McElduff, PT

  • Physical Therapist
  • Toms River, NJ
National Provider Identifier
1760405237
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA00515600 Issued in NJ
Practice address
40 Bey Lea Rd
Building C Suite 101
Toms River, NJ 08753-2900
Phone
(732) 341-9901
Fax
(732) 341-9004
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 40QA00515600 NJ Primary

Addresses

Primary practice location

40 Bey Lea Rd
Building C Suite 101
Toms River, NJ 08753-2900

Mailing address

610 New York Blvd
Sea Girt, NJ 08750-1421
Phone (732) 282-1184

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040922001163 NJ Practitioner - Physical Therapist in Private Practice 0648178319 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2164 Route 35
BLDG C
Sea Girt, NJ 08750-1013
Phone (732) 974-1313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Fitness in Therapy Inc. Physical Therapist CurrentSince Nov 5, 2009 Accepting new patients
Ocean Medical Consultants Inc Physical Therapist Past Accepting new patients
Mudassar Sharif, MD PC Past Accepting new patients
Fit Physical Therapy Physical Therapist Past Accepting new patients
Advance Physical Therapyand Fitness Inc. Physical Therapist Past Accepting new patients
Garden State Primary Care, PA Past Accepting new patients

Locations

2164 Route 35
Bldg C
Sea Girt, NJ 08750
Phone (732) 804-8590

Organizations & group practices 6

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760405237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NEW YORK BLVD",
            "city": "SEA GIRT",
            "state": "NJ",
            "postal_code": "087501421",
            "telephone_number": "732-282-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 BEY LEA RD",
            "address_2": "BUILDING C SUITE 101",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087532900",
            "telephone_number": "732-341-9901",
            "fax_number": "732-341-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELDUFF",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00515600",
            "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 Jul 8, 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.