Adios Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00723200 Issued in NJ

Legal business name

ADIOS CHIROPRACTIC, PC

Practice address

2500 Lemoine Ave Ste 303
Fort Lee, NJ 07024-6205

Phone

(201) 363-0233

Fax

(201) 363-0266

NPI assigned

Oct 4, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jae Chung, D.C.

Title

Owner

Phone

(201) 363-0233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1053781922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE STE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246205",
            "telephone_number": "201-363-0233",
            "fax_number": "201-363-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE STE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246205",
            "telephone_number": "201-363-0233",
            "fax_number": "201-363-0266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIOS CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-363-0233",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00723200",
            "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 Jan 7, 2016; 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.