Organization Active NPI

Tower Chiropractic Wellness P.C

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1164794798
Registry record updated Jan 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012089 Issued in NY
Legal business name
TOWER CHIROPRACTIC WELLNESS P.C
Practice address
4161 Kissena Blvd
Suite 22, Concourse Level
Flushing, NY 11355-3181
Phone
(516) 312-0901
NPI assigned
Jan 27, 2012
Last updated
Jan 27, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2012

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

Authorized official

Name
Dr. Jungyeon Leung, D.C.NPI 1770815516
Title
Owner
Phone
(516) 312-0901

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012089 NY Primary

Addresses

Primary practice location

4161 Kissena Blvd
Suite 22, Concourse Level
Flushing, NY 11355-3181

Mailing address

106 Kent Rd
Valley Stream, NY 11580-3316
Phone (516) 312-0901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120222000983 NY Part B Supplier - Clinic/Group Practice 3173781119 Receives reassigned benefits from 2 practitioners
Practice locations: Flushing, NY

National Provider Directory

National Provider Directory

Locations

4161 Kissena Blvd
Ste 22
Flushing, NY 11355
Phone (516) 244-8415

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1164794798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 KENT RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803316",
            "telephone_number": "516-312-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "address_2": "SUITE 22, CONCOURSE LEVEL",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553181",
            "telephone_number": "516-312-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWER CHIROPRACTIC WELLNESS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "LEUNG",
        "authorized_official_first_name": "JUNGYEON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-312-0901",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.