Andrew M Kulick, D.C.

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

1575 Issued in MA

Practice address

176 Broadway
Somerville, MA 02145-3129

Phone

(617) 776-7576

Fax

(617) 825-5006

NPI assigned

Dec 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Randy Jacobs Professional name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Cleveland Chiropractic College - Los Angeles, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Fromer Chiropractic, Inc.

  • Chiropractor
  • Los Angeles, CA
  • NPI 1336664333
  Medicare reassignment NPD
• Forest Hills Chiropractic & Rehab Inc

  • Chiropractor
  • Jamaica Plain, MA
  • NPI 1780903146
  NPD
• Fromer Chiropractic, Inc.

  • Health Service Clinic/Center
  • Los Angeles, CA
  • NPI 1124326988
  NPD
• Dark Horse, Incor.

  • Chiropractor
  • Somerville, MA
  • NPI 1699820852
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154487734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 HOWARD ST",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024514318",
            "telephone_number": "781-209-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 BROADWAY",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021453129",
            "telephone_number": "617-776-7576",
            "fax_number": "617-825-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULICK",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": "MA",
            "license": "1575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RANDY",
            "last_name": "JACOBS",
            "prefix": "MR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Linda Krupp, MSW,LICSW
• Liliana Kruschewsky
• Jack Krushell, M.D.
• Benjamin A Kruskal, M.D.
• Shaina Kulbersh, MSN, APRN, WHNP-BC
• Anna Kulmatiski
• Chandra McKenzie Kumar, PT, DPT
• Alexander Kundel
• Medina Kusuran, RN
• Selena Chana Kutin, P.T

• Sports Physician Chiropractor in Somerville, MA
• Providers in Somerville, MA by specialty
• Sports Physician Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.