Individual provider Active NPI

Robert John Hodges Jr., D.C.

  • Chiropractor
  • Forked River, NJ
National Provider Identifier
1881649127
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00452400 Issued in NJ
Practice address
1041 W Lacey Rd
Forked River, NJ 08731-1048
Phone
(609) 693-9171
Fax
(609) 693-9172
NPI assigned
May 24, 2006
Last updated
Feb 20, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00452400 NJ Primary

Addresses

Primary practice location

1041 W Lacey Rd
Forked River, NJ 08731-1048

Mailing address

1041 W Lacey Rd
Forked River, NJ 08731-1048
Phone (609) 693-9171

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Andrew Pagnotta D.C., P.C. Chiropractor CurrentSince Feb 1, 2013 Accepting new patients

Locations

1041 Lacey Rd
Forked River, NJ 08731
Phone (609) 693-9171

121 S Main St
Forked River, NJ 08731
Phone (609) 693-9171

Organizations & group practices 1

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361318400000",
    "number": "1881649127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1041 W LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311048",
            "telephone_number": "609-693-9171",
            "fax_number": "609-693-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 W LACEY RD",
            "city": "FORKED RIVER",
            "state": "NJ",
            "postal_code": "087311048",
            "telephone_number": "609-693-9171",
            "fax_number": "609-693-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "ROBERT",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-24",
        "last_updated": "2013-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00452400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forked River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.