NJ Pain Center PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00674700 Issued in NJ

Legal business name

NJ PAIN CENTER PC

Practice address

21 Grand Ave Ste 503
Palisades Park, NJ 07650-1083

Phone

(201) 941-0990

Fax

(201) 941-0991

NPI assigned

Feb 9, 2011

Organization subpart

No

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

Authorized official

Name

Hyunik Hwangbo, DC

Title

President

Phone

(201) 941-0990

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1124324009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE STE 503",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501083",
            "telephone_number": "201-941-0990",
            "fax_number": "201-941-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE STE 503",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501083",
            "telephone_number": "201-941-0990",
            "fax_number": "201-941-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ PAIN CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "HWANGBO",
        "authorized_official_first_name": "HYUNIK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-941-0990",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00674700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1568616845",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NJ Jindo Acupuncture
• NJ Young Acupuncture PC
• Ji Young Noe
• North Jersey Prosthetics & Orthotics, Inc.
• Now Pain Clinc PC
• Oceanwide Services Corp

• Chiropractor in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.