DR. LUKE E FOGG JR. (NPI# 1346450202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346450202 |
| Entity Type | Individual |
| Full Name | DR. LUKE E FOGG JR. |
| Credential | D.C. |
| Practice Address |
57 East Ave Woodstown NJ 08098-1408 |
| Practice Telephone | 8567697700 |
| Practice Fax Number | 8567697900 |
| Mailing Telephone | 8567697700 |
| Mailing Fax Number | 8567697900 |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111NS0005X |
Chiropractor Specialization: Sports Physician |
38MC00571900 | NJ | Chiropractic Providers |
| X | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
38MC00571900 | NC | Chiropractic Providers |
| X | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
38MC00571900 | NJ | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 2465779 | 01 |
| Street Address |
57 EAST AVE |
| City | WOODSTOWN |
| State | NJ |
| Zip Code | 08098-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871141309 | Sidra Batool Kazmi | Pharmacist | 865 Nj-45, Pilesgrove, NJ 08098 | 2019-08-28 |
| 1679072631 | Advancing Opportunities, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Woodstown-alloway Rd., Apt. 105, Woodstown, NJ 08098 | 2018-02-06 |
| 1265989180 | Sarah V. Jones | Registered Nurse | 435 Swedesboro Road, Pilesgrove, NJ 08098 | 2016-09-08 |
| 1265894646 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1356 Kings Hwy, Pilesgrove, NJ 08098 | 2016-03-24 |
| 1801279534 | Bancroft | Clinic/Center | 6 Commissioner's Pike, Woodstown, NJ 08098 | 2015-06-30 |
| 1144494600 | John Richard Castiglioni | Emergency Medicine | 50 Forsythia Lane, Pilesgrove, NJ 08098 | 2008-04-16 |
| 1437268190 | Lisa Gambino | Dentist | 4 West Maple St, Woodstown, NJ 08098 | 2006-08-29 |
| 1902852999 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 857 Route 45, Pilesgrove, NJ 08098 | 2006-05-25 |
| 1306375696 | Kelly Boskey | Physical Therapist | 84 E Grant St, Ste 3, Woodstown, NJ 08098 | 2017-06-08 |
| 1902016470 | Andrew S.black Dpm Pa | Podiatrist | 303 North Main Street, Woodstown, NJ 08098 | 2007-05-23 |
| Find all providers in zip 08098 | ||||
| Taxonomy Code | 111NS0005X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Sports Physician |
| A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities. |
| Notes: Source: American Chiropractic Board of Sports Physicians, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854197 | Optimum Chiropractic | Chiropractor | 749 Hope Rd Ste A, Eatontown, NJ 07724-1433 | 2020-08-31 |
| 1497366397 | Alexander Liberman | Chiropractor | 1 Weathervane Way, Marlboro, NJ 07746-1692 | 2020-08-13 |
| 1063052322 | Rsm Sports and Rehab LLC | Chiropractor | 700 Bangs Ave Unit 214, Asbury Park, NJ 07712-6958 | 2020-01-14 |
| 1326603168 | Brett Kevin Hodshon | Chiropractor | 33 Elcock Ave, Boonton, NJ 07005-8806 | 2019-05-07 |
| 1225507643 | Bergen Spine and Sport, LLC | Chiropractor | 10 Wilsey Sq Ste 132, Ridgewood, NJ 07450-3729 | 2018-11-14 |
| 1902317225 | Marina Mangano | Chiropractor | 9505 3rd Ave, Stone Harbor, NJ 08247-1928 | 2017-10-12 |
| 1437672813 | Opm Flex LLC | Chiropractor | 633 Totowa Rd, Totowa, NJ 07512-1618 | 2017-07-18 |
| 1033661236 | Cmp Group,pc | Chiropractor | 540 Bordentown Road Suite 4900 4thfl, South Amboy, NJ 08879 | 2016-11-04 |
| 1912456831 | Premier Pain and Rehabilitation Center of Nj PC | Chiropractor | 7 Ridgedale Ave Ste 204, Ste 204, Cedar Knolls, NJ 07927-1120 | 2016-10-04 |
| 1578011235 | David Luke Dijkstra | Chiropractor | 10 Corey Ln, Mendham, NJ 07945-3309 | 2016-09-12 |
| Find all providers with the same taxonomy | ||||
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| 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.