TIMOTHY JUDE DIECKMAN (NPI# 1083766935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083766935 |
| Entity Type | Individual |
| Full Name | TIMOTHY JUDE DIECKMAN |
| Credential | DC |
| Practice Address |
631 Jamaica Blvd Suite #1 Toms River NJ 08757-4000 |
| Mailing Address |
Po Box 372 Pine Beach NJ 08741 |
| Practice Telephone | 7323416555 |
| Practice Fax Number | 7325576369 |
| Mailing Telephone | 7323416555 |
| Mailing Fax Number | 7325576369 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2012-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 38NJMC0047700 | NJ | Chiropractic Providers |
| Street Address |
631 JAMAICA BLVD SUITE #1 |
| City | TOMS RIVER |
| State | NJ |
| Zip Code | 08757-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043825136 | Ma Elisa Capiton Senupe | Physical Medicine & Rehabilitation | 1700 Nj-37, Toms River, NJ 08757 | 2020-09-15 |
| 1285274548 | Kasey M Klag | Speech-Language Pathologist | 1933 9th Avenue, Toms River, NJ 08757 | 2020-01-14 |
| 1730607979 | Alternatives, Inc. | Community/Behavioral Health | 1730 Alberta St., Toms River, NJ 08757 | 2017-09-08 |
| 1467808931 | Alexandrea Robin Nickel | Chiropractor | 511 Dover Rd Ste 3, Toms River, NJ 08757 | 2016-05-13 |
| 1982077517 | Anissa Ivery | Counselor | 2200 Cedarview Dr, Toms River, NJ 08757 | 2015-11-04 |
| 1033599956 | The Open Door of Nj | Respite Care | 832 Wellington Ave, Toms River, NJ 08757 | 2015-06-05 |
| 1427463900 | Erin Sullivan | Physical Therapist | 600 Mule Rd., Toms River, NJ 08757 | 2014-06-24 |
| 1699100974 | Stacy L O'neill | Counselor | 1716 Twelfth Ave, Toms River, NJ 08757 | 2013-09-05 |
| 1316239320 | Aaron Park | Acupuncturist | 224 Torrey Pines Dr, Toms River, NJ 08757 | 2011-05-09 |
| 1114000114 | Ramesh Kumar | Internal Medicine | 3 Plaza Drive Suite 16, Toms River, NJ 08757 | 2006-10-23 |
| Find all providers in zip 08757 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114485398 | Jonathan M Segreti | Chiropractor | 1307 Oakmont Dr, Toms River, NJ 08753-6304 | 2019-03-07 |
| 1013407931 | Thompson Medical and Chiropractic LLC | Chiropractor | 810 Hooper Ave Ste 1, Toms River, NJ 08753 | 2018-05-16 |
| 1144757774 | Phillip Petris | Chiropractor | 551 Lakehurst Rd Fl 1, Toms River, NJ 08755 | 2017-05-14 |
| 1780036327 | Ocean County Spine and Joint Care, LLC | Chiropractor | 2446 Church Rd Ste 2e, Toms River, NJ 08753-8182 | 2016-07-07 |
| 1467808931 | Alexandrea Robin Nickel | Chiropractor | 511 Dover Rd Ste 3, Toms River, NJ 08757 | 2016-05-13 |
| 1215236161 | Community Spine & Pain Center | Chiropractor | 833 Rte 37 W, Toms River, NJ 08755-5038 | 2011-03-17 |
| 1952606394 | Katherine Holstein | Chiropractor | 325 W Water St, Suite 2, Toms River, NJ 08753-6569 | 2011-01-16 |
| 1396047783 | Brian Patrick Hart | Chiropractor | 3431 Bergen Ave, Toms River, NJ 08753-4806 | 2010-11-17 |
| 1336452895 | Personal Best Chiropractic | Chiropractor | 226 Rte 37 W, Toms River, NJ 08755-8047 | 2010-07-26 |
| 1134457419 | Jason M. Towey Dc LLC | Chiropractor | 1046 Crystal Dr, Toms River, NJ 08753-3822 | 2009-11-25 |
| Find all providers in TOMS RIVER | ||||
| City | TOMS RIVER |
| Zip Code | 08757 |
Please comment or provide details below to improve the information on TIMOTHY JUDE DIECKMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.