Mission Hoboken Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

MISSION HOBOKEN CHIROPRACTIC PC

Practice address

84 Willow Ave FL 1
Hoboken, NJ 07030-4278

Phone

(551) 222-1202

NPI assigned

Aug 15, 2023

Organization subpart

No

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

Authorized official

Name

Sam Chang, DC

Title

Chiropractor

Phone

(551) 222-1202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1013790971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 WILLOW AVE FL 1",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 WILLOW AVE FL 1",
            "city": "HOBOKEN",
            "state": "NJ",
            "postal_code": "070304278",
            "telephone_number": "551-222-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION HOBOKEN CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "551-222-1202",
        "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": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.