Flourish Nutrition and Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

FLOURISH NUTRITION AND CHIROPRACTIC, LLC

Practice address

55 State Route 35 Ste 1
Red Bank, NJ 07701-5918

Phone

(732) 284-7550

Fax

(732) 933-4125

NPI assigned

Oct 25, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Makin Sannelli, DCNPI 1578573473

Title

Sole Member/Owner

Phone

(732) 284-7550

Specialties & licenses 1

Addresses

Other names 1

• Flourish Nutrition and Chiropractic, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 2

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

• Melissa Makin Sannelli, D.C.

  • Chiropractor
  • Red Bank, NJ
  • NPI 1578573473
  Medicare reassignment NPD Authorized official
• Steven Sanfilippo, D.C.

  • Chiropractor
  • Red Bank, NJ
  • NPI 1861479214
  NPD (past)

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571961600000",
    "number": "1821631409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 FAIR HAVEN RD",
            "city": "FAIR HAVEN",
            "state": "NJ",
            "postal_code": "077043417",
            "telephone_number": "732-284-7550",
            "fax_number": "732-933-4125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 STATE ROUTE 35 STE 1",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015918",
            "telephone_number": "732-284-7550",
            "fax_number": "732-933-4125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLOURISH NUTRITION AND CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-25",
        "last_updated": "2019-10-25",
        "status": "A",
        "authorized_official_last_name": "SANNELLI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "MAKIN",
        "authorized_official_title_or_position": "SOLE MEMBER/OWNER",
        "authorized_official_telephone_number": "732-284-7550",
        "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": [
        {
            "organization_name": "Flourish Nutrition and Chiropractic, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tiffany Flewellen, LCSW
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• Humberto Fong, DPT
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• Chiropractor in Red Bank, NJ
• Providers in Red Bank, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.