Organization Active NPI

Wellbeing Care Clinic

  • Chiropractor
  • New York, NY
National Provider Identifier
1114631538
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
WELLBEING CARE CLINIC
Practice address
697 3Rd Ave Ste 701
New York, NY 10017-4003
Phone
(201) 923-0734
NPI assigned
Jan 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Authorized official

Name
Sungsik Kim
Title
Owner
Phone
(201) 923-0734

Specialties & licenses 1

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

Addresses

Primary practice location

697 3Rd Ave Ste 701
New York, NY 10017-4003

Mailing address

697 3Rd Ave Ste 701
New York, NY 10017-4003

National Provider Directory

National Provider Directory

Locations

697 3rd Ave
Ste 701
New York, NY 10017
Phone (201) 923-0734

NPI Registry JSON

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

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1114631538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "697 3RD AVE STE 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "697 3RD AVE STE 701",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174003",
            "telephone_number": "201-923-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLBEING CARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNGSIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-923-0734"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.