Individual provider Active NPI

Kelly Megan Muldoon, D.C.

  • Chiropractor
  • Barnegat, NJ
National Provider Identifier
1821523879
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00745000 Issued in NJ
Practice address
890 W Bay Ave
Suite E
Barnegat, NJ 08005-2150
Phone
(609) 698-5550
NPI assigned
Apr 27, 2017
Last updated
Apr 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00745000 NJ Primary

Addresses

Primary practice location

890 W Bay Ave
Suite E
Barnegat, NJ 08005-2150

Mailing address

890 W Bay Ave
Suite E
Barnegat, NJ 08005-2150
Phone (609) 698-5550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170629000033 NJ Practitioner - Chiropractic 1658640016 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

810 Hooper Ave
Suite 1
Toms River, NJ 08753-7719
Phone (732) 281-3200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00745000NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Sep 30, 2020 Accepting new patients
Thompson Medical and Chiropractic LLC Chiropractor CurrentSince Sep 30, 2020 Accepting new patients

Locations

890 W Bay Ave
Ste E
Barnegat, NJ 08005
Phone (609) 698-5550

509 N Main St
Manahawkin, NJ 08050
Phone (609) 978-6565

106 Apple St
Ste 100C
Tinton Falls, NJ 07724
Phone (732) 747-5022

810 Hooper Ave
Toms River, NJ 08753
Phone (732) 281-3200

810 Hooper Ave
Ste 1
Toms River, NJ 08753
Phone (732) 281-3200

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, 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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493251200000",
    "number": "1821523879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 W BAY AVE",
            "address_2": "SUITE E",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052150",
            "telephone_number": "609-698-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 W BAY AVE",
            "address_2": "SUITE E",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080052150",
            "telephone_number": "609-698-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MULDOON",
        "first_name": "KELLY",
        "middle_name": "MEGAN",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-27",
        "last_updated": "2017-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00745000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnegat, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.