Evan Lovullo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

013880 Issued in NY

Practice address

989 Kenmore Ave
Kenmore, NY 14217-2924

Phone

(716) 335-9711

NPI assigned

Sep 27, 2024

Sex

Male

Sole proprietor

No

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 NY

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Marciniak Chiropractic PLLCGroup PAC ID 1850515388, 7 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.

• Marciniak Chiropractic PLLC

  • Chiropractor
  • Buffalo, NY
  • NPI 1942610183
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1727395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1982422135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 KATHRYN DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141272024",
            "telephone_number": "716-536-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "989 KENMORE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172924",
            "telephone_number": "716-335-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVULLO",
        "first_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-27",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "013880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Josue Lopez, 175T00000X
• Darlene Lopez, OTR/L
• Haley Jade Loss
• Kelli Lynn Loss, CCC-SLP
• Garnet Loveday
• Kelly A Lubey, PT
• Alyssa Lucarelli
• Rachel Marie Luczak
• Brianna Koerner Luksch, OTR
• Brittany Lumadue

• Chiropractor in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2025; 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.