Individual provider Active NPI

Michael Wade Joffe, DC

  • Rehabilitation Chiropractor
  • Whiting, NJ
National Provider Identifier
1992862957
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
2332 Issued in NJ
Practice address
67 Lacey Rd Ste 2
Whiting, NJ 08759-2912
Phone
(732) 359-1188
Fax
(732) 350-1120
NPI assigned
Jan 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 2332 NJ
Rehabilitation Chiropractor 111NR0400X 2332 NJ Primary

Addresses

Primary practice location

67 Lacey Rd Ste 2
Whiting, NJ 08759-2912

Mailing address

67 Lacey Rd Ste 2
Whiting, NJ 08759-2912
Phone (732) 350-1188

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000769 NJ Practitioner - Chiropractic 7113913906 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

67 Lacey Rd
Suite 2
Whiting, NJ 08759-2912
Phone (732) 350-1188

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2332NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Joffe Chiropractic PC Chiropractor CurrentSince Jul 9, 2011 Accepting new patients
Premier Dermatology Clinic LLC PastSince Feb 10, 2021 Accepting new patients

Locations

3 Plaza Dr
Ste 17
Toms River, NJ 08757
Phone (732) 341-3535

75 Lacey Rd
Ste 7A
Whiting, NJ 08759
Phone (732) 350-1188

75 Lacey Rd
Ste 3
Whiting, NJ 08759
Phone (732) 350-1188

67 Lacey Rd
Ste 2
Whiting, NJ 08759
Phone (732) 350-1188

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1992862957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 LACEY RD STE 2",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592912",
            "telephone_number": "732-350-1188",
            "fax_number": "732-350-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 LACEY RD STE 2",
            "city": "WHITING",
            "state": "NJ",
            "postal_code": "087592912",
            "telephone_number": "732-359-1188",
            "fax_number": "732-350-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOFFE",
        "first_name": "MICHAEL",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "2332",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "2332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whiting, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.