Individual provider Active NPI

Junseop Kim, DC

  • Chiropractor
  • Bergenfield, NJ
National Provider Identifier
1346093499
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00803900 Issued in NJ
Practice address
253 S Washington Ave Ste 1a
Bergenfield, NJ 07621-3739
Phone
(201) 371-4056
NPI assigned
Apr 9, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 38MC00803900 NJ Primary

Addresses

Primary practice location

253 S Washington Ave Ste 1a
Bergenfield, NJ 07621-3739

Mailing address

149 Main St Apt 505
Hackensack, NJ 07601-7372
Phone (551) 574-5238

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240504000133 NJ Practitioner - Chiropractic 0941640106 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bergenfield Physical Therapy and Rehab Center LLC 8 clinicians

Practice addresses (Care Compare)

253 S Washington Ave
Suite 1a
Bergenfield, NJ 07621-3739
Phone (201) 338-4053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
38MC00803900NJMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bergenfield Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Apr 1, 2024 Accepting new patients
Paramus Physical Therapy and Rehabilitation LLC Chiropractor CurrentSince Apr 1, 2024 Accepting new patients
Clifton Physical Therapy & Rehab Center LLC Chiropractor CurrentSince Apr 1, 2024 Accepting new patients
Emerson Physical Therapy LLC CurrentSince Apr 1, 2024 Accepting new patients
Junkim Chiropractic LLC Chiropractor CurrentSince Apr 14, 2024 Accepting new patients
Maywood Physical Therapy LLC Chiropractor CurrentSince Apr 1, 2024 Accepting new patients
Town Chiropractor Paramus LLC Chiropractor PastSince Apr 1, 2024 Accepting new patients

Locations

253 S Washington Ave
Ste 1A
Bergenfield, NJ 07621
Phone (201) 338-4053

1373 Broad St
Ste 204
Clifton, NJ 07013
Phone (862) 249-1330

45 Emerson Plz E
Ste 102
Emerson, NJ 07630
Phone (201) 477-8415

119 E Passaic St
Maywood, NJ 07607
Phone (201) 880-7787

12 N State Rt 17
Ste 118
Paramus, NJ 07652
Phone (201) 535-4145

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1346093499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 MAIN ST APT 505",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076017372",
            "telephone_number": "551-574-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 S WASHINGTON AVE STE 1A",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076213739",
            "telephone_number": "201-371-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "JUNSEOP",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00803900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.

Verify at the official NPI Registry.