Brett Pearsall, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00725700 Issued in NJ

Practice address

571 Central Ave Ste 103
New Providence, NJ 07974

Phone

(908) 795-1999

NPI assigned

Apr 30, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ignite Spine and Sports LLCGroup PAC ID 5991032617, 2 clinicians

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 and National Provider Directory roles.

• Ignite Spine and Sports LLC

  • Chiropractor
  • New Providence, NJ
  • NPI 1497311310
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Performance and Rehabilitation Center, LLC

  • Physical Therapist
  • Short Hills, NJ
  • NPI 1851455562

  Chiropractor

  Medicare reassignment NPD

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1770960585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "07974",
            "telephone_number": "908-795-1999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 Central Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "New Providence",
            "state": "NJ",
            "postal_code": "07974",
            "country_code": "US",
            "telephone_number": "908-795-1999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEARSALL",
        "first_name": "BRETT",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00725700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Pannucci-Marvin, M.S., CCC-SLP
• Parabolic MHT, LLC
• Neeti A Patel
• Katherine Denise Paterson, OTR/L
• Paula M. Pesci, M.D., LLC
• Lesly Perez, LSW
• Nancy F. Perez, LCSW
• Elizabeth F Perillo, CCC-SLP
• Paula Marie Pesci Rodriguez
• Amanda Ana Picciano, MSN, FNP-BC

• 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.
• 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.