Organization Active NPI

A. Nickel Chiropractic LLC

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1922523745
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00734900 Issued in NJ
Legal business name
A. NICKEL CHIROPRACTIC LLC
Practice address
511 Dover Rd Ste 3
Toms River, NJ 08757-5404
Phone
(732) 966-2818
Fax
(609) 756-0845
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Dr. Alexandrea Robin Nickel, D.C.NPI 1467808931
Title
Owner/Chiropractor
Phone
(732) 966-2818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00734900 NJ Primary

Addresses

Primary practice location

511 Dover Rd Ste 3
Toms River, NJ 08757-5404

Mailing address

511 Dover Rd
Toms River, NJ 08757-5404
Phone (732) 966-2818

Other practice location 1

325 W Water St
Toms River, NJ 08753-6569
Phone (732) 966-2818

Other practice location 2

938 Atlantic City Blvd
Bayville, NJ 08721-3553
Phone (732) 966-2818

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180206002172 NJ Part B Supplier - Clinic/Group Practice 4082974399 Receives reassigned benefits from 1 practitioner
Practice locations: Whiting, NJ

National Provider Directory

National Provider Directory

Locations

938 Atlantic City Blvd
Bayville, NJ 08721
Phone (732) 966-2818

738 US Highway 9
Bayville, NJ 08721
Phone (732) 237-0404

511 Dover Rd
Toms River, NJ 08757
Phone (609) 752-1048

325 W Water St
Toms River, NJ 08753
Phone (732) 286-9669

511 Dover Rd
Ste 3
Toms River, NJ 08757
Phone (732) 966-2818

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1922523745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 DOVER RD",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087575404",
            "telephone_number": "732-966-2818",
            "fax_number": "732-399-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 DOVER RD STE 3",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087575404",
            "telephone_number": "732-966-2818",
            "fax_number": "609-756-0845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 W Water St",
            "address_purpose": "LOCATION",
            "city": "Toms River",
            "state": "NJ",
            "postal_code": "087536569",
            "country_code": "US",
            "telephone_number": "732-966-2818",
            "fax_number": "732-966-2818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "938 Atlantic City Blvd",
            "address_purpose": "LOCATION",
            "city": "Bayville",
            "state": "NJ",
            "postal_code": "087213553",
            "country_code": "US",
            "telephone_number": "732-966-2818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A. NICKEL CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "NICKEL",
        "authorized_official_first_name": "ALEXANDREA",
        "authorized_official_middle_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "732-966-2818",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00734900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toms River, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.

Verify at the official NPI Registry.