Organization Active NPI

Fitzpatrick Chiropractic LLC

  • Chiropractor
  • Toms River, NJ
National Provider Identifier
1972862548
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FITZPATRICK CHIROPRACTIC LLC
Practice address
1184 Fischer Blvd
Suite 1 B
Toms River, NJ 08753-3089
Phone
(732) 288-0500
Fax
(732) 288-0550
NPI assigned
May 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Authorized official

Name
Dr. Robert S Fitzpatrick Jr., DCNPI 1689669426
Title
Chiropractor/Owner
Phone
(732) 288-0500

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 Primary

Addresses

Primary practice location

1184 Fischer Blvd
Suite 1 B
Toms River, NJ 08753-3089

Mailing address

1184 Fischer Blvd
Suite 1B
Toms River, NJ 08753-3089
Phone (732) 288-0500

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180320000253 NJ Part B Supplier - Clinic/Group Practice 3678835279 Receives reassigned benefits from 2 practitioners
Practice locations: Toms River, NJ

National Provider Directory

National Provider Directory

Locations

1184 Fischer Blvd
Toms River, NJ 08753
Phone (732) 288-0500

1184 Fischer Blvd
Ste 1B
Toms River, NJ 08753
Phone (732) 288-0500

Practitioners & affiliated clinicians

Practitioners 2

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": "1337126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520985600000",
    "number": "1972862548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1184 FISCHER BLVD",
            "address_2": "SUITE 1B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533089",
            "telephone_number": "732-288-0500",
            "fax_number": "732-288-0550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1184 FISCHER BLVD",
            "address_2": "SUITE 1 B",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087533089",
            "telephone_number": "732-288-0500",
            "fax_number": "732-288-0550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FITZPATRICK CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-16",
        "last_updated": "2018-03-14",
        "status": "A",
        "authorized_official_last_name": "FITZPATRICK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CHIROPRACTOR/OWNER",
        "authorized_official_telephone_number": "732-288-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Mar 14, 2018; 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.