Ignite Spine and Sports LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

IGNITE SPINE AND SPORTS LLC

Practice address

571 Central Ave Ste 103
New Providence, NJ 07974-1547

Phone

(908) 795-1999

Fax

(908) 279-8531

NPI assigned

May 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Brett Pearsall, DCNPI 1770960585

Title

Chiropractor

Phone

(908) 795-1999

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

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

• Brett Pearsall, D.C.

  • Chiropractor
  • New Providence, NJ
  • NPI 1770960585
  Medicare reassignment Care Compare group NPD Authorized official
• Kayla Graessle, DC

  • Chiropractor
  • Denville, NJ
  • NPI 1235863622
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1497311310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2692 FARVIEW DR",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070921326",
            "telephone_number": "908-795-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "571 CENTRAL AVE STE 103",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741547",
            "telephone_number": "908-795-1999",
            "fax_number": "908-279-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IGNITE SPINE AND SPORTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "PEARSALL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "908-795-1999",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Kathleen Holler
• Horizon Hill Associates
• Mary Beth Housel, M.S., A.T.C., CSCS
• Andrea Gibbons Hubschmann, MD
• Ta' Lisa Marie Hutton, LSW
• Jacqulyne Inman, RPH, PHARMD
• Erika Ledder Inzano, LCSW
• Ariella Stefany Inzunza
• Rose Lerva Jean Baptiste
• Emily C Jefferson, PA-C

• Chiropractor in New Providence, NJ
• Providers in New Providence, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.