Active NPI
Mansoo Jo, D.C.
- Chiropractor
- Englewood Cliffs, NJ
National Provider Identifier
1376861534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00691800
- Practice address
- 720 E Palisade Ave
202
Englewood Cliffs, NJ 07632-3053 - Phone
- (201) 755-3557
- NPI assigned
- May 12, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X011847 | NY | |
| Chiropractor | 111N00000X | 38MC00691800 | NJ | Primary |
Addresses
Primary practice location
720 E Palisade Ave
202
Englewood Cliffs, NJ 07632-3053
Mailing address
720 E Palisade Ave
202
Englewood Cliffs, NJ 07632-3053
Phone (201) 755-3557
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00691800 | NJ | MD | Chiropractor |
| X011847 | NY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms Chiropractic Health Center P.C. | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Englewood, NJ
- NPI 1679828941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377561600000",
"number": "1376861534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 E PALISADE AVE",
"address_2": "202",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076323053",
"telephone_number": "201-755-3557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 E PALISADE AVE",
"address_2": "202",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076323053",
"telephone_number": "201-755-3557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JO",
"first_name": "MANSOO",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-12",
"last_updated": "2013-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X011847",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00691800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.