IGNITE SPINE AND SPORTS LLC (NPI# 1497311310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497311310 |
| Entity Type | Organization |
| Organization Name | IGNITE SPINE AND SPORTS LLC |
| Practice Address |
571 Central Ave Ste 103 New Providence NJ 07974-1547 |
| Mailing Address |
2692 Farview Dr Mountainside NJ 07092-1326 |
| Practice Telephone | 9087951999 |
| Practice Fax Number | 9082798531 |
| Mailing Telephone | 9087951999 |
| Enumeration Date | 2019-05-16 |
| Last Update Date | 2019-11-26 |
| Authorized Official Name | DR. BRETT PEARSALL (CHIROPRACTOR) |
| Authorized Official Telephone | 9087951999 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
571 CENTRAL AVE STE 103 |
| City | NEW PROVIDENCE |
| State | NJ |
| Zip Code | 07974-1547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770960585 | Brett Pearsall | Chiropractor | 571 Central Ave Ste 103, New Providence, NJ 07974 | 2015-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841775996 | A & J Majestic Care, LLC | In Home Supportive Care | 36 High Street, New Providence, NJ 07974 | 2018-09-25 |
| 1790222131 | Lantern Hill, Inc. | Skilled Nursing Facility | 537 Mountain Avenue, Attn: Extended Care Adminstrator, New Providence, NJ 07974 | 2017-01-24 |
| 1548591340 | Sushmita Srivastav | Internal Medicine | 535 Mountain Ave, New Providence, NJ 07974 | 2010-01-19 |
| 1548406465 | Benjamin Mark Schneider | Radiology | 1811 Springfield Avenue, Summit Radiological Associates, New Providence, NJ 07974 | 2008-12-23 |
| 1033314042 | Jeffrey T Leary | Orthopaedic Surgery | 550 Central Ave Ste 500, New Providence, NJ 07974 | 2007-06-19 |
| 1336369925 | James Michael Rubino | Dentist | 598 Central Avenue, New Providence, NJ 07974 | 2007-04-26 |
| 1194942839 | Patricia A Baroff | Social Worker | 114 Glenside Road, Murray Hill, NJ 07974 | 2007-04-20 |
| 1497873244 | Gastrocare, LLC | Internal Medicine | 571 Central Avenue, Suite 112, New Providence, NJ 07974 | 2007-03-27 |
| 1629196134 | Carlos Moglianesi, D.m.d. PC | Dentist | 1806 Springfield Ave., New Providence, NJ 07974 | 2007-03-26 |
| 1881748648 | Steven Moskowitz Md Pa | Pediatrics | 556 Central Avenue, Suite 1, New Providence, NJ 07974 | 2007-01-22 |
| Find all providers in zip 07974 | ||||
| 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 |
|---|---|---|---|---|
| 1770960585 | Brett Pearsall | Chiropractor | 571 Central Ave Ste 103, New Providence, NJ 07974 | 2015-04-30 |
| 1588812374 | Gregory M Kingsbury | Chiropractor | 48 Murray Hill Sq, New Providence, NJ 07974-1531 | 2008-09-04 |
| 1447322508 | Thomas Eric Culver | Chiropractor | 1490 Springfield Ave, Suite 2, New Providence, NJ 07974-1423 | 2006-11-14 |
| 1528160165 | Mark A Schlobohm | Chiropractor | 133 Gales Dr, New Providence, NJ 07974-2903 | 2006-09-03 |
| 1871001974 | Practical Health Solutions LLC | Chiropractor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2018-01-11 |
| 1861810335 | Frasco Chiropractic,llc. | Chiropractor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2014-04-02 |
| 1093145179 | Michael Rullo | Chiropractor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2013-11-26 |
| 1437354917 | Culver Chiropractic PC | Chiropractor | 1490 Springfield Ave, New Providence, NJ 07974-1423 | 2007-06-15 |
| 1386764959 | Joseph J Frasco | Chiropractor | 1806 Springfield Ave, New Providence, NJ 07974-1005 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407448 | Michael Saccente | Chiropractor | 700 Campus Dr Ste C, Morganville, NJ 07751-1259 | 2020-11-02 |
| 1598364127 | Edison Chiropractic, LLC | Chiropractor | 1581 Route 27 Unit 4, Edison, NJ 08817-3477 | 2020-10-24 |
| 1316546591 | Salvador Gonzalez Ruiz | Chiropractor | 758 Bloomfield Ave, West Caldwell, NJ 07006-6710 | 2020-10-20 |
| 1427655802 | Leandra L Quinones Santiago | Chiropractor | 691 Mill Creek Rd Ste 5, Manahawkin, NJ 08050-3531 | 2020-10-08 |
| 1306443452 | Alec Michael Shell | Chiropractor | 116 Miln St, Cranford, NJ 07016-2141 | 2020-10-01 |
| 1619583069 | Jordan C Jackson | Chiropractor | 280 Us Highway 9 Ste E, Morganville, NJ 07751-1572 | 2020-09-21 |
| 1932715505 | Elite Spine and Wellness, LLC | Chiropractor | 2864 Rte 27 Ste C, North Brunswick, NJ 08902-5010 | 2020-09-19 |
| 1184239410 | Keith Alan Eisenberger | Chiropractor | 61 Hudson St, Hackensack, NJ 07601-6943 | 2020-09-14 |
| 1932714805 | Edward Vinnikov | Chiropractor | 6 Crosswood Way, Warren, NJ 07059-6785 | 2020-09-09 |
| 1548874605 | Komal Gulab Khattak | Chiropractor | 3b, 186 Princeton Hightstown Rd, #104, West Windsor Township, NJ 08550 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
| City | NEW PROVIDENCE |
| Zip Code | 07974 |
Please comment or provide details below to improve the information on IGNITE SPINE AND SPORTS LLC.
| 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.