JS Park Chiropractic P.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JS PARK CHIROPRACTIC P.C.

Practice address

133 E 58TH St Ste 710
New York, NY 10022-1170

Phone

(475) 988-7695

NPI assigned

Jul 24, 2024

Organization subpart

No

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

Authorized official

Name

Jaesung ParkNPI 1295365849

Title

Owner

Phone

(475) 988-7695

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jaesung Park, DC

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1295365849
  NPD Authorized official

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1407684160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST STE 710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 E 58TH ST STE 710",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221170",
            "telephone_number": "475-988-7695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JS PARK CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAESUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "475-988-7695"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.