Petris Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PETRIS CHIROPRACTIC LLC

Practice address

551 Lakehurst Rd FL 1
Toms River, NJ 08755-8044

Phone

(732) 678-6785

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

Phillip Petris, DCNPI 1144757774

Title

Chiropractor/Owner

Phone

(732) 678-6785

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phillip Petris, DC

  • Chiropractor
  • Toms River, NJ
  • NPI 1144757774
  Medicare reassignment Authorized official
• Armando B Gonzales, D.C.

  • Chiropractor
  • Brick, NJ
  • NPI 1457464042
  NPD (past)
• Charles R. Stanfield, DC

  • Chiropractor
  • Toms River, NJ
  • NPI 1477595692
  NPD (past)

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1891333431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 LAKEHURST RD FL 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558044",
            "telephone_number": "732-678-6785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 LAKEHURST RD FL 1",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087558044",
            "telephone_number": "732-678-6785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETRIS CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "PETRIS",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "732-678-6785",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NX0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George A. Peters, ED.D.
• Russell D Petranto, D.P.M.
• Christina Petrauskas, APN
• Erin Alexis Petrillo, APN
• John A Petrillo, MD
• Phillip Petris, DC
• Dominick Petronico, DPT
• Gina Petrucelli
• Cathrine Petty, LSW
• Carolyn Pfeiffer, RN

• Chiropractor in Toms River, NJ
• Providers in Toms River, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2019; 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.

Verify at the official NPI Registry.