Thomas Yabroudy, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00521100 Issued in NJ

Practice address

206 Belleville Ave
Suite 201
Bloomfield, NJ 07003-3589

Phone

(973) 743-9700

Fax

(973) 743-9730

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advance Rehab Services

  • Chiropractor
  • Bloomfield, NJ
  • NPI 1225259641
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289520000000",
    "number": "1962597872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 OVERHILL RD",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070791239",
            "telephone_number": "973-743-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 BELLEVILLE AVE",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070033589",
            "telephone_number": "973-743-9700",
            "fax_number": "973-743-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YABROUDY",
        "first_name": "THOMAS",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2010-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00521100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bloomfield, NJ
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2010; 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.