Spinal Wellness Chiropractic P.C.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

SPINAL WELLNESS CHIROPRACTIC P.C.

Practice address

845 Broad Ave
Ridgefield, NJ 07657-1055

Phone

(347) 401-3886

NPI assigned

Feb 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sung Wook Yoon, DCNPI 1275190670

Title

Owner/Chiropractor

Phone

(347) 401-3886

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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

• Sung Wook Yoon

  • Chiropractor
  • College Point, NY
  • NPI 1275190670

  NJ

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644192000000",
    "number": "1114671328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 BROAD AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571055",
            "telephone_number": "347-401-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 BROAD AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571055",
            "telephone_number": "347-401-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINAL WELLNESS CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "WOOK",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "347-401-3886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Clinic/Center in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Pain Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.