Organization Active NPI

Integrated Wellness N.Y.C., L.L.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1275808719
Registry record updated Mar 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X006863 Issued in NY
Legal business name
INTEGRATED WELLNESS N.Y.C., L.L.C.
Practice address
308 5TH Ave
Fifth Floor
New York, NY 10001-3613
Phone
(212) 684-2121
Fax
(212) 684-2291
NPI assigned
Mar 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2012

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

Authorized official

Name
Dr. Michael Konig, D.C.
Title
Owner
Phone
(212) 684-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X006863 NY Primary

Addresses

Primary practice location

308 5TH Ave
Fifth Floor
New York, NY 10001-3613

Mailing address

308 5TH Ave
Fifth Floor
New York, NY 10001-3613
Phone (212) 684-2121

National Provider Directory

National Provider Directory

Locations

308 5th Ave
Fl 5
New York, NY 10001
Phone (212) 684-2121

NPI Registry JSON

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

{
    "created_epoch": "1331856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1275808719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 5TH AVE",
            "address_2": "FIFTH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013613",
            "telephone_number": "212-684-2121",
            "fax_number": "212-684-2291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 5TH AVE",
            "address_2": "FIFTH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013613",
            "telephone_number": "212-684-2121",
            "fax_number": "212-684-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED WELLNESS N.Y.C., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-16",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "KONIG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-684-2121",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X006863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 16, 2012; 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.