Active NPI
Hoseok Kwak
- Chiropractor
- Flushing, NY
National Provider Identifier
1255626875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 70 012029
- Practice address
- 15015 41St Ave Ste 3E
Flushing, NY 11354-4929 - Phone
- (718) 886-0055
- Fax
- (718) 321-8524
- NPI assigned
- Jun 11, 2011
- 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 | 70 012029 | NY | Primary |
Addresses
Primary practice location
15015 41St Ave Ste 3E
Flushing, NY 11354-4929
Mailing address
2845 Strauss Ter
Silver Spring, MD 20904-7148
Phone (240) 461-4777
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
19122 Northern Blvd
Flushing, NY 11358-2829
Phone (718) 886-9090
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012029 | NY | MD | Mental Health Counselor |
| 70 012029 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joeun Chiropractic PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Flushing, NY
- NPI 1952996100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307750400000",
"number": "1255626875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2845 STRAUSS TER",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209047148",
"telephone_number": "240-461-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15015 41ST AVE STE 3E",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113544929",
"telephone_number": "718-886-0055",
"fax_number": "718-321-8524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWAK",
"first_name": "HOSEOK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-11",
"last_updated": "2011-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "70 012029",
"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 Jun 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.