Organization Active NPI

Body Balance Chiropractic LLC

  • Chiropractor
  • Englewood Cliffs, NJ
National Provider Identifier
1093596801
Registry record updated Oct 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
BODY BALANCE CHIROPRACTIC LLC
Practice address
640 E Palisade Ave Ste 202
Englewood Cliffs, NJ 07632-1824
Phone
(201) 362-1989
NPI assigned
Oct 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2023

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

Authorized official

Name
Dr. In Hyuk Choi, D.CNPI 1881479251
Title
Doctor of Chiropractic
Phone
(201) 362-1989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

640 E Palisade Ave Ste 202
Englewood Cliffs, NJ 07632-1824

Mailing address

640 E Palisade Ave Ste 202
Englewood Cliffs, NJ 07632-1824
Phone (201) 362-1989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240724003908 NJ Part B Supplier - Clinic/Group Practice 6103362249 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood Cliffs, NJ; Livingston, NJ

National Provider Directory

National Provider Directory

Locations

640 E Palisade Ave
Ste 202
Englewood Cliffs, NJ 07632
Phone (201) 362-1989

333 Sylvan Ave
Ste LL9
Englewood Cliffs, NJ 07632

2 W Northfield Rd
Ste 304
Livingston, NJ 07039
Phone (201) 362-1989

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697500800000",
    "number": "1093596801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 E PALISADE AVE STE 202",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321824",
            "telephone_number": "201-362-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 E PALISADE AVE STE 202",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076321824",
            "telephone_number": "201-362-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY BALANCE CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-17",
        "certification_date": "2023-10-17",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "IN HYUK",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "201-362-1989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood Cliffs, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; 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.