NPIMap

Organization Active NPI

Pain Management & Spinal Care, LLC

  • Chiropractor
  • Worcester, MA
National Provider Identifier
1336351501
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MA-2086 Issued in MA
Legal business name
PAIN MANAGEMENT & SPINAL CARE, LLC
Practice address
291 Lincoln St
Ste. 100
Worcester, MA 01605-3643
Phone
(508) 795-1810
Fax
(508) 795-1282
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carlo Longobardo, D.C.NPI 1881715787
Title
Carlo Longobardo
Phone
(508) 795-1810

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 SINGLE SPECIALTY GROUP 111N00000X MA-2086 MA Primary

Addresses

Primary practice location

291 Lincoln St
Ste. 100
Worcester, MA 01605-3643

Mailing address

291 Lincoln St
Ste. 100
Worcester, MA 01605-3643
Phone (508) 795-1810

National Provider Directory

National Provider Directory

Locations

291 Lincoln St
Ste 100
Worcester, MA 01605
Phone (508) 795-1810

Practitioners & affiliated clinicians

Practitioners 1

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336351501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 LINCOLN ST",
            "address_2": "STE. 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053643",
            "telephone_number": "508-795-1810",
            "fax_number": "508-795-1282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 LINCOLN ST",
            "address_2": "STE. 100",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016053643",
            "telephone_number": "508-795-1810",
            "fax_number": "508-795-1282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT & SPINAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LONGOBARDO",
        "authorized_official_first_name": "CARLO",
        "authorized_official_title_or_position": "CARLO LONGOBARDO",
        "authorized_official_telephone_number": "508-795-1810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "MA-2086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.