Hawthorne Medical Management, Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

HAWTHORNE MEDICAL MANAGEMENT, INC.

Practice address

21722 Fall River Dr
Boca Raton, FL 33428-4818

Phone

(954) 658-0064

NPI assigned

Jan 22, 2025

Last updated

Jan 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sal James Pellegrino, DCNPI 1508908849

Title

Owner/ Chiropractor

Phone

(954) 658-0064

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sal James Pellegrino, DC

  • Rehabilitation Chiropractor
  • Fort Lauderdale, FL
  • NPI 1508908849
  NPD Authorized official

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1275345860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21722 FALL RIVER DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284818",
            "telephone_number": "954-658-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21722 FALL RIVER DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334284818",
            "telephone_number": "954-658-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAWTHORNE MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "PELLEGRINO",
        "authorized_official_first_name": "SAL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER/ CHIROPRACTOR",
        "authorized_official_telephone_number": "954-658-0064",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Samuel Haverman, MD MPH
• Elana R Haverman, DPT
• Havovi B Shroff PHD LLC
• Ronald Earl Hawk, D.D.S.
• Gwen B Hawley
• Jessica Marie Hayes
• Dakirra Haynes
• Dawn Alisa Haynes, PTA
• Pash Melisha Haynes
• Ashley Lynn Hays, MSN, APRN FNP-BC

• Chiropractor in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.