Organization Active NPI

Spine Wellness Chiropractic P.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1194537860
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPINE WELLNESS CHIROPRACTIC P.C.
Practice address
38 W 32ND St Ste 1612
New York, NY 10001-3874
Phone
(929) 470-4993
NPI assigned
Jan 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Sang Won Yi, DCNPI 1194585448
Title
President
Phone
(929) 470-4993

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

38 W 32ND St Ste 1612
New York, NY 10001-3874

Mailing address

38 W 32ND St Ste 1612
New York, NY 10001-3874
Phone (929) 470-4993

Other names 1

  • Tri-State Health Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

38 W 32nd St
Ste 1612
New York, NY 10001
Phone (212) 239-8344

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1737417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1194537860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 W 32ND ST STE 1612",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013874",
            "telephone_number": "929-470-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 W 32ND ST STE 1612",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013874",
            "telephone_number": "929-470-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE WELLNESS CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-21",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "YI",
        "authorized_official_first_name": "SANG",
        "authorized_official_middle_name": "WON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-470-4993",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-State Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.