SM Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00648800 Issued in NJ

Legal business name

SM CHIROPRACTIC PC

Doing business as

SM Chiropractic & Acupuncture

Practice address

2460 Lemoine Ave Ste 203
Fort Lee, NJ 07024-6210

Phone

(201) 559-5307

Fax

(201) 351-4787

NPI assigned

Jan 25, 2014

Organization subpart

No

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

Authorized official

Name

Sangrok Moon, DC, L.AC.NPI 1184988107

Title

President

Phone

(201) 410-9293

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• SM Chiropractic & Acupuncture Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sangrok Moon, D.C., L.AC.

  • Acupuncturist
  • Fort Lee, NJ
  • NPI 1184988107

  Chiropractor

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1390608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1356764492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE STE 203",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246210",
            "telephone_number": "201-559-5307",
            "fax_number": "201-351-4787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2460 LEMOINE AVE STE 203",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246210",
            "telephone_number": "201-559-5307",
            "fax_number": "201-351-4787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SM CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-25",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "MOON",
        "authorized_official_first_name": "SANGROK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-410-9293",
        "authorized_official_credential": "DC, L.AC."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00648800",
            "primary": true
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NJ",
            "license": "25MZ00081300",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184988107",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SM Chiropractic & Acupuncture",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Monast Simon, DDS
• Joel D. Singer, DMD
• Patricia B Sioson-Maser, DDS
• Sergey Sklarov, LMT
• Sky Physical Therapy LLC
• SM Chiropractic&Pain Clinic, P.C.
• Smart Care Pediatrics PC
• Felice Lauren Smith, LCSW
• Snore No More by Abs LLC
• So Good Dentistry PC

• Chiropractor in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.