Active NPI
Michael Sammarro, DC, LAC
- Chiropractor
- Summit, NJ
National Provider Identifier
1235807603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00785500
- Practice address
- 308 Springfield Ave
Summit, NJ 07901-3611 - Phone
- (908) 263-7043
- NPI assigned
- Sep 1, 2021
- Last updated
- Sep 1, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00785500 | NJ | Primary |
Addresses
Primary practice location
308 Springfield Ave
Summit, NJ 07901-3611
Mailing address
308 Springfield Ave
Summit, NJ 07901-3611
Phone (908) 263-7043
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@summitsportspine.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- National College of Chiropractic, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
39 Beechwood Rd
Summit, NJ 07901-4605
Phone (908) 263-7043
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Sport and Spine LLC | Chiropractor | Current | Accepting new patients |
Locations
308 Springfield Ave
Summit, NJ 07901
Phone (908) 263-7043
39 Beechwood Rd
Summit, NJ 07901
Phone (908) 263-7043
Interoperability endpoints
- info@summitsportspine.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1235807603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "308 SPRINGFIELD AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013611",
"telephone_number": "908-263-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "308 SPRINGFIELD AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013611",
"telephone_number": "908-263-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMMARRO",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DC, LAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00785500",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@summitsportspine.com",
"affiliation": "N",
"endpointDescription": "Business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "308 Springfield Ave",
"city": "Summit",
"state": "NJ",
"country_code": "US",
"postal_code": "079013611",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.