Essential Chiropractic Care LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3321 Issued in MA

Legal business name

ESSENTIAL CHIROPRACTIC CARE LLC

Practice address

454 Broadway
454 Broadway Suite301
Revere, MA 02151-3034

Phone

(781) 284-1661

Fax

(781) 823-6550

NPI assigned

Apr 6, 2011

Last updated

Jun 7, 2011By 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. Jason A Gambale, D CNPI 1104125285

Title

Doctor

Phone

(781) 284-1661

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: areveredoc@eccl0002.direct.chirotouch.md

Practitioners 2

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.

• Anthony Gerard Gambale, D.C.

  • Chiropractor
  • Revere, MA
  • NPI 1841496858
  Medicare reassignment
• Jason Anthony Gambale, D.C.

  • Chiropractor
  • Revere, MA
  • NPI 1104125285
  Authorized official Same address or phone

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307404800000",
    "number": "1750670105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 BROADWAY",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513034",
            "telephone_number": "781-284-1661",
            "fax_number": "781-823-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "454 BROADWAY",
            "address_2": "454 BROADWAY SUITE301",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513034",
            "telephone_number": "781-284-1661",
            "fax_number": "781-823-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL CHIROPRACTIC CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-06-07",
        "status": "A",
        "authorized_official_last_name": "GAMBALE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "781-284-1661",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "MA",
            "license": "3321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey J. Ellermeyer, BA
• Jasmine Ellison
• Emmanuel Properties LLC (Berakah Care Services)
• Bonnie Engelbart, MD
• Essential Care Chiropractic, LLC
• Everpath Home Care LLC
• Everpath Home Care LLC
• Excel Dental of Revere LLC
• Expertise Livery Corporation
• Stefanie Fabiano, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.