Leo Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

LEO WELLNESS LLC

Practice address

37 Brook Ave FL 2
Maywood, NJ 07607-1130

Phone

(908) 578-9375

NPI assigned

Sep 30, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Sun Park, DC

Title

Chiropractor

Phone

(908) 578-9375

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1285358424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 7TH STREET",
            "address_2": "UNIT B",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "07650",
            "telephone_number": "908-578-9375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BROOK AVE FL 2",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071130",
            "telephone_number": "908-578-9375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEO WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SUN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "908-578-9375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Konrad, DNP, PMHNP
• Ketan Harshadray Kutlerywala, OD
• Minsun Lee, PH.D.
• Suho Lee, DDS
• Kevin Leithauser, PT, DPT
• Martha Lewycky, DMD
• Lighthouse Anesthesia Partners LLC
• Stephen R Lindholm, MD
• Phoebe Livanis
• Dara Lobuono, MS RD

• Chiropractor in Maywood, NJ
• Providers in Maywood, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.