Elizabeth M Ciavola, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC 009466 Issued in PA

Practice address

17382 State Rte 11
Joines BLDG, Suite 2
New Milford, PA 18834

Phone

(570) 465-9330

Fax

(570) 465-9331

NPI assigned

Jul 24, 2006

Last updated

Jun 29, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Sherman College of Straight Chiropractic, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Endless Mountains Chiropractic Clinic PC

  • Chiropractor
  • New Milford, PA
  • NPI 1538192794
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1669494407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702",
            "city": "NEW MILFORD",
            "state": "PA",
            "postal_code": "18834",
            "telephone_number": "570-465-9330",
            "fax_number": "570-465-9331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17382 STATE RTE 11",
            "address_2": "JOINES BLDG, SUITE 2",
            "city": "NEW MILFORD",
            "state": "PA",
            "postal_code": "18834",
            "telephone_number": "570-465-9330",
            "fax_number": "570-465-9331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAVOLA",
        "first_name": "ELIZABETH",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC 009466",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "3194",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "1829262",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Marie Begasse, CRNP
• Blue Ridge Medical Center
• Blue Ridge School District
• Pamela Brant, MA
• Edmund W Burdick, OD
• Columbia Hose Company No 1
• Dominick George Cosmello, C.R.N.A.
• Dylan RC Enterprises Inc (PRO Rehabilitation Services)
• Edmund W Burdick OD
• Shannon Elbrecht-Nash, DPT

• Chiropractor in New Milford, PA
• Providers in New Milford, PA by specialty
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.