Bareun Spine Clinic

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BAREUN SPINE CLINIC

Practice address

21 Grand Ave
Palisades Park, NJ 07650-1076

Phone

(201) 923-0734

NPI assigned

Aug 30, 2016

Last updated

Sep 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sungsik KimNPI 1245601335

Title

Owner

Phone

(201) 923-0734

Specialties & licenses 1

Addresses

Locations

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.

• Sungsik Kim, D.C.

  • Chiropractor
  • Palisades Park, NJ
  • NPI 1245601335
  Authorized official Same address or phone
• Mary Lee

  • Acupuncturist
  • Palisades Park, NJ
  • NPI 1437691391
  NPD (past)

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1346796349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501076",
            "telephone_number": "201-923-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501076",
            "telephone_number": "201-923-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAREUN SPINE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNGSIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-923-0734"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah An
• Anthony M Susinno MD
• Anthonys Pharmacy LLC (Anthony's Pharmacy)
• Apex Physical Therapy and Performance PC
• Balance Dizziness Center Inc.
• Edward R Baron, LCSW, BCD
• Robert Marcel Benedetti, D.M.D.
• Bergen Adult Day Care Inc
• Bergen Medical Care PC
• Michelle Beyrich

• Chiropractor in Palisades Park, NJ
• Providers in Palisades Park, 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 26, 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.