North Shore Spine & Rehab

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

NORTH SHORE SPINE & REHAB

Doing business as

Woburn Family Chiropractic

Practice address

20 Cummings Park
Woburn, MA 01801-2122

Phone

(781) 938-9400

Fax

(781) 938-9323

NPI assigned

Nov 12, 2008

Last updated

Nov 12, 2008By 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

Ms. Michael T Pendolino, D.C.NPI 1194739573

Title

President/Owner

Phone

(781) 938-9400

Specialties & licenses 1

Addresses

Other identifiers 7

Other names 1

• Woburn Family Chiropractic Doing business as

Locations

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.

• Michael Todd Pendolino, DC

  • Chiropractor
  • Woburn, MA
  • NPI 1194739573
  Authorized official Same address or phone

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226448000000",
    "number": "1669626099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 CUMMINGS PARK",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012122",
            "telephone_number": "781-938-9400",
            "fax_number": "781-938-9323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 CUMMINGS PARK",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018012122",
            "telephone_number": "781-938-9400",
            "fax_number": "781-938-9323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE SPINE & REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-11-12",
        "status": "A",
        "authorized_official_last_name": "PENDOLINO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "781-938-9400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y39891",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2611483",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "TAX ID",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y36576",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS",
            "identifier": "460083",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MASSHEALTH",
            "identifier": "1697021",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HPHC",
            "identifier": "AA7544",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woburn Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Harbor Healthcare PLLC
• North Shore Diagnostics, Inc.
• North Shore Home Healthcare LLC
• North Shore Pain Care LLC
• North Shore Radiological Associates, Inc.
• Northeast Behavioral Associates
• Northeast Orthopaedic Alliance PLLC
• Northeast Professional Registry of Nurses Inc (Beth Israel Lahey Health at Home)
• Northeast Professional Registry of Nurses Inc (Beth Israel Lahey Health at Home)
• Northern Home Health Care, LLC

• Chiropractor in Woburn, MA
• Providers in Woburn, MA by specialty
• Chiropractor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2008; 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.