Organization Active NPI

Bliss Wellness Edison Center

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1063837409
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BLISS WELLNESS EDISON CENTER
Practice address
2056A Lincoln Hwy
Edison, NJ 08817-3373
Phone
(908) 705-2232
NPI assigned
Feb 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Authorized official

Name
Sungmun Jung
Title
Presedent
Phone
(908) 705-2232

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X NJ Primary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 25MZ00097300 NJ

Addresses

Primary practice location

2056A Lincoln Hwy
Edison, NJ 08817-3373

Mailing address

2056A Lincoln Hwy
Edison, NJ 08817-3373
Phone (908) 705-2232

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392940800000",
    "number": "1063837409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2056A LINCOLN HWY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173373",
            "telephone_number": "908-705-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056A LINCOLN HWY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173373",
            "telephone_number": "908-705-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS WELLNESS EDISON CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SUNGMUN",
        "authorized_official_title_or_position": "PRESEDENT",
        "authorized_official_telephone_number": "908-705-2232"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00097300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.