Active NPI
Sangwoo Mah, DC
- Chiropractor
- Flushing, NY
National Provider Identifier
1184688574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X009835-1
- Practice address
- 15001 Northern Blvd
1St Floor
Flushing, NY 11354-3846 - Phone
- (718) 746-4919
- Fax
- (718) 746-4920
- NPI assigned
- Apr 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X009835-1 | NY | Primary |
Addresses
Primary practice location
15001 Northern Blvd
1St Floor
Flushing, NY 11354-3846
Mailing address
15419 Northern Blvd # 2F-5
Flushing, NY 11354-5029
Phone (718) 746-4919
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nydiscchiro@protonmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X009835-1 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choi Physical Therapy, P.C. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Flushing, NY
- NPI 1952731606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1184688574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15419 NORTHERN BLVD # 2F-5",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113545029",
"telephone_number": "718-746-4919",
"fax_number": "718-746-4920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15001 NORTHERN BLVD",
"address_2": "1ST FLOOR",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113543846",
"telephone_number": "718-746-4919",
"fax_number": "718-746-4920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAH",
"first_name": "SANGWOO",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X009835-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nydiscchiro@protonmail.com",
"affiliation": "N",
"endpointDescription": "office",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "office",
"address_1": "15419 Northern Blvd # F-5",
"city": "Flushing",
"state": "NY",
"country_code": "US",
"postal_code": "113545029",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Apr 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.