| Ignite Spine And Sports Llc | |
|
571 Central Ave Ste 103, New Providence, NJ 07974-1547 | |
| (908) 795-1999 | |
| (908) 279-8531 |
| Full Name | Ignite Spine And Sports Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 571 Central Ave Ste 103, New Providence, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497311310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Brett R Pearsall |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770960585 PECOS PAC ID: 9335454768 Enrollment ID: I20150814012730 |
| Provider Name | Kayla Graessle |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1235863622 PECOS PAC ID: 1052786704 Enrollment ID: I20230411000791 |
| Mailing Address | Practice Location Address |
|---|---|
| Ignite Spine And Sports Llc 2692 Farview Dr, Mountainside, NJ 07092-1326 Ph: (908) 795-1999 | Ignite Spine And Sports Llc 571 Central Ave Ste 103, New Providence, NJ 07974-1547 Ph: (908) 795-1999 |
Dr. Michael Rullo, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1806 Springfield Ave, New Providence, NJ 07974 Phone: 972-771-0707 | |
Dr. Michael John Orlando, D.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 1806 Springfield Ave, New Providence, NJ 07974 Phone: 908-771-0707 Fax: 908-665-2067 | |
Joseph J Frasco, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1806 Springfield Ave, New Providence, NJ 07974 Phone: 908-771-0707 Fax: 908-665-2067 | |
Culver Chiropractic Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1490 Springfield Ave, New Providence, NJ 07974 Phone: 908-508-1212 | |
Dr. Thomas Eric Culver, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1490 Springfield Ave, Suite 2, New Providence, NJ 07974 Phone: 908-508-1212 Fax: 908-508-9211 | |
Dr. Mark A Schlobohm, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 133 Gales Dr, New Providence, NJ 07974 Phone: 908-665-1818 Fax: 908-665-9565 |