New Season Health Clinic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00732100 Issued in NJ

Legal business name

NEW SEASON HEALTH CLINIC LLC

Practice address

12 Snowhill St Ste 3
Spotswood, NJ 08884

Phone

(626) 808-1423

NPI assigned

Mar 1, 2018

Organization subpart

No

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

Authorized official

Name

Junghwan Seo

Title

Owner

Phone

(626) 808-1423

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541808000000",
    "number": "1154823565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SNOWHILL ST STE 3",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SNOWHILL ST STE 3",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "08884",
            "telephone_number": "626-808-1423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SEASON HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-11-10",
        "status": "A",
        "authorized_official_last_name": "SEO",
        "authorized_official_first_name": "JUNGHWAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-808-1423"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00732100",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00117500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; 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.