NPIMap

Organization Active NPI

Neubaum Wellness Group LLC

Doing business as Ultimate Health

  • Chiropractor
  • Bel Air, MD
National Provider Identifier
1023654290
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
NEUBAUM WELLNESS GROUP LLC
Doing business as
Ultimate Health
Practice address
1035 Emmorton Rd
Bel Air, MD 21014-5469
Phone
(410) 569-5969
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Dr. Katharine Lee Sparrazza Neubaum, DCNPI 1083133128
Title
Owner
Phone
(585) 721-4155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1035 Emmorton Rd
Bel Air, MD 21014-5469

Mailing address

1747 Trestle St
Mount Airy, MD 21771-7758
Phone (585) 721-4155

Other practice location 1

113 West Rd Ste 202B
Towson, MD 21204-2318
Phone (410) 275-7620

Other names 1

  • Ultimate Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200423001551 MD Part B Supplier - Clinic/Group Practice 3779913215 Receives reassigned benefits from 4 practitioners
Practice locations: Towson, MD; Bel Air, MD

National Provider Directory

National Provider Directory

Locations

1035 Emmorton Rd
Bel Air, MD 21014
Phone (410) 399-2225

113 West Rd
Ste 202B
Towson, MD 21204
Phone (410) 275-7620

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1023654290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1747 TRESTLE ST",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217717758",
            "telephone_number": "585-721-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 EMMORTON RD",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210145469",
            "telephone_number": "410-569-5969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 West Rd Ste 202B",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042318",
            "country_code": "US",
            "telephone_number": "410-275-7620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUBAUM WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "NEUBAUM",
        "authorized_official_first_name": "KATHARINE",
        "authorized_official_middle_name": "LEE SPARRAZZA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-721-4155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ultimate Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bel Air, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.