Organization Active NPI

Friends Chiropractic PC

  • Chiropractor
  • Bayside, NY
National Provider Identifier
1265977722
Registry record updated Nov 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
012702 Issued in NY
Legal business name
FRIENDS CHIROPRACTIC PC
Practice address
20019 46TH Ave
Bayside, NY 11361
Phone
(212) 302-2692
NPI assigned
Dec 19, 2016
Last updated
Nov 19, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2019

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

Authorized official

Name
Sooyeon Gim, DCNPI 1669848750
Title
President
Phone
(347) 653-2497

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 012702 NY Primary

Addresses

Primary practice location

20019 46TH Ave
Bayside, NY 11361

Mailing address

20019 46TH Ave
Bayside, NY 11361-3018
Phone (212) 302-2692

Other practice location 1

330 W 58th St
Suite 510
New York, NY 10019-1827
Phone (212) 245-2122

National Provider Directory

National Provider Directory

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": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574121600000",
    "number": "1265977722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20019 46TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613018",
            "telephone_number": "212-302-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20019 46TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "11361",
            "telephone_number": "212-302-2692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 W 58th St",
            "address_2": "SUITE 510",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100191827",
            "country_code": "US",
            "telephone_number": "212-245-2122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FRIENDS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2019-11-19",
        "status": "A",
        "authorized_official_last_name": "GIM",
        "authorized_official_first_name": "SOOYEON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-653-2497",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "012702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; 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.