Active NPI
Thompson Medical and Chiropractic LLC
- Physical Medicine & Rehabilitation Physician
- Bayville, NJ
National Provider Identifier
1861982605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- THOMPSON MEDICAL AND CHIROPRACTIC LLC
- Practice address
- 370 Route 9
Bayville, NJ 08721-1264 - Phone
- (848) 238-7200
- NPI assigned
- May 17, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Robert David Thompson
- Title
- Managing Employee
- Phone
- (609) 971-3500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary | ||
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X |
Addresses
Primary practice location
370 Route 9
Bayville, NJ 08721-1264
Mailing address
424 S Main St
Forked River, NJ 08731-4654
Phone (609) 971-3500
Other names 1
- Thompson Healthcare & Sports Medicine
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180808003546 | NJ | DME Supplier - Physician - Physical and Rehabilitation | 5395008163 | Practice locations: Bayville, NJ |
Other NPIs with the same Medicare PAC ID 3
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Physical Medicine & Rehabilitation Physician
- Manahawkin, NJ
- NPI 1588154421
5395008163
-
- Physical Medicine & Rehabilitation Physician
- Barnegat, NJ
- NPI 1932794500
5395008163
-
- Physical Medicine & Rehabilitation Physician
- Forked River, NJ
- NPI 1942755103
5395008163
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
370 Route 9
Bayville, NJ 08721
Phone (848) 238-7200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629849600000",
"number": "1861982605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 S MAIN ST",
"city": "FORKED RIVER",
"state": "NJ",
"postal_code": "087314654",
"telephone_number": "609-971-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 ROUTE 9",
"city": "BAYVILLE",
"state": "NJ",
"postal_code": "087211264",
"telephone_number": "848-238-7200"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMPSON MEDICAL AND CHIROPRACTIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-17",
"last_updated": "2021-08-25",
"certification_date": "2021-08-25",
"status": "A",
"authorized_official_last_name": "THOMPSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "MANAGING EMPLOYEE",
"authorized_official_telephone_number": "609-971-3500"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Thompson Healthcare & Sports Medicine",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Thompson Healthcare & Sports Medicine",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bayville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.