Inu Health Clinic P.C

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INU HEALTH CLINIC P.C

Practice address

725 River Rd Ste 119
Edgewater, NJ 07020-1195

Phone

(917) 582-6187

NPI assigned

Sep 22, 2022

Organization subpart

No

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

Authorized official

Name

Misuk KimNPI 1295015063

Title

Provider

Phone

(917) 582-6187

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

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

• Mi Suk Kim

  • Physical Therapist
  • Englewood Cliffs, NJ
  • NPI 1295015063

  Acupuncturist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1663804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663804800000",
    "number": "1124741202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 119",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201195",
            "telephone_number": "917-582-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 RIVER RD STE 119",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201195",
            "telephone_number": "917-582-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INU HEALTH CLINIC P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-22",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "MISUK",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "917-582-6187"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard S. Hughes III, D.D.S.
• Icahn School of Medicine at Mount Sinai
• Icahn School of Medicine at Mount Sinai
• Inserra Supermarkets Inc
• Intake, LLC
• Hyo-Jung Jang, PC-NP
• Megan Jannicelli
• Jennifer Gentile Physical Therapy LLC
• Jennifer Jocelyn, LLC
• Miji Jeon

• Physical Therapist in Edgewater, NJ
• Providers in Edgewater, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.