Individual provider Active NPI

Patricia Mary Talerico, DC

  • Chiropractor
  • Ocean, NJ
National Provider Identifier
1770567299
Registry record updated Oct 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC03347 Issued in NJ
Practice address
1300 Hwy 35
Monmouth Executive Plaza III, Suite 101
Ocean, NJ 07712-3537
Phone
(732) 531-0999
Fax
(732) 531-5582
NPI assigned
Nov 30, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC03347 NJ Primary

Addresses

Primary practice location

1300 Hwy 35
Monmouth Executive Plaza III, Suite 101
Ocean, NJ 07712-3537

Mailing address

1300 Hwy 35
Monmouth Executive Plaza III, Suite 101
Ocean, NJ 07712-3537
Phone (732) 531-0999

Other identifiers 6

IdentifierTypeStateIssuer
21258830443OtherNJBEECH STREET
NJ0334OtherNJLANDMARK
052229700OtherNJAMERIHEALTH
551131OtherNJAETNA
929045OtherNJUNITED HEALTHCARE
P635570OtherNJOXFORD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323000133 NJ Practitioner - Chiropractic 0547151227 Practice locations: Oakhurst, NJ

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1819 Hwy 35 N
Oakhurst, NJ 07755-2966
Phone (732) 531-1300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MC03347NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Panda Physical Medicine LLC Chiropractor PastSince Feb 15, 2018 Accepting new patients
Patricia M. Talerico Chiropractor PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 2

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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287014400000",
    "number": "1770567299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 HWY 35",
            "address_2": "MONMOUTH EXECUTIVE PLAZA III, SUITE 101",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123537",
            "telephone_number": "732-531-0999",
            "fax_number": "732-531-5582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HWY 35",
            "address_2": "MONMOUTH EXECUTIVE PLAZA III, SUITE 101",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123537",
            "telephone_number": "732-531-0999",
            "fax_number": "732-531-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALERICO",
        "first_name": "PATRICIA",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2010-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC03347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEECH STREET",
            "identifier": "21258830443",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LANDMARK",
            "identifier": "NJ0334",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "052229700",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "551131",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "929045",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P635570",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; 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.