William Joseph Mack III, DC
Individual provider Active NPI Chiropractor · Ocean View, NJ
NPI 1932918992 · NPPES record last updated Jan 4, 2025
Key facts
- NPI
- 1932918992
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 38MC00810000 (NJ)
- Practice address
- 1217 Route 9
Ocean View, NJ 08230-1379 - Phone
- (609) 390-8772
- NPI assigned
- Jan 4, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Shore Chiropractic LLC
Practice addresses (Care Compare)
1217 Route 9
Suite 101
Ocean View, NJ 08230-1379
Phone (609) 390-8772
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250115000049 | NJ | Practitioner - Chiropractic | 6709314099 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Shore Chiropractic LLC | Chiropractor | Current |
Accepting new patients |
Locations
1217 Route 9
Ste 101
Ocean View, NJ 08230
Phone (609) 390-8772
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00810000 | NJ | Yes |
Addresses
Primary practice location
1217 Route 9
Ocean View, NJ 08230-1379
Mailing address
19 Timber Dr E
Marmora, NJ 08223-1149
Phone (609) 602-5602
Other providers in Ocean View, NJ
- Michael Ibrahem
- James J O'Rourke DC LLC
- Lindsay Elizabeth Laielli
- Amirah Lindsay
- Joseph Luchese
- John Richard Martin
- Gary R Mruz
- New Jersey CVS Pharmacy LLC
- Randell A Nuschke
- James J O'Rourke
All providers in Ocean View, NJ · Chiropractor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.