Individual provider Active NPI

Thomas Dandrea, DC

  • Chiropractor
  • Red Bank, NJ
National Provider Identifier
1770512188
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00516600 Issued in NJ
Practice address
7 Globe CT
Red Bank, NJ 07701-1824
Phone
(732) 345-1377
Fax
(732) 936-9493
NPI assigned
Jun 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

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
Chiropractor 111N00000X 38MC00516600 NJ Primary

Addresses

Primary practice location

7 Globe CT
Red Bank, NJ 07701-1824

Mailing address

7 Globe CT
Red Bank, NJ 07701-1824
Phone (732) 345-1377

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000042 NJ Practitioner - Chiropractic 9032203609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monmouth Pain and Rehabilitation PCGroup PAC ID 1557460714, 4 clinicians

Practice addresses (Care Compare)

1985 Hwy 34 S
Unit 6a
Wall, NJ 07719-1000
Phone (732) 345-1377

3100 Route 138
Suite 3
Wall Township, NJ 07719-9021

3100 RT
138 BLDG 3
Wall, NJ 07719-9021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Monmouth Pain and Rehabilitation PC Chiropractor CurrentSince Mar 3, 1998 Accepting new patients
Monmouth Pain and Rehabiliation PC Chiropractor CurrentSince Mar 3, 1998 Accepting new patients
Monmouth Pain at Howell LLC Chiropractor PastSince Nov 21, 2019 Accepting new patients

Locations

7 Globe Ct
Red Bank, NJ 07701
Phone (732) 345-1372

3100 State Route 138
Ste 3
Wall Township, NJ 07719
Phone (732) 280-9500

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770512188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 GLOBE CT",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011824",
            "telephone_number": "732-345-1377",
            "fax_number": "732-936-9493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 GLOBE CT",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011824",
            "telephone_number": "732-345-1377",
            "fax_number": "732-936-9493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANDREA",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00516600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, 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.