Queens Spine Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

QUEENS SPINE CHIROPRACTIC PC

Practice address

8940 56TH Ave
Elmhurst, NY 11373-4933

Phone

(718) 587-5788

NPI assigned

Oct 9, 2023

Last updated

Oct 9, 2023By 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

Dr. Eun Ju Kim, DCNPI 1578071668

Title

President

Phone

(718) 587-5788

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, and the practitioner matching its NPPES authorized official.

• Eun Ju Kim

  • Chiropractor
  • New York, NY
  • NPI 1578071668
  NPD Authorized official

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

{
    "created_epoch": "1696809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696809600000",
    "number": "1437930336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8940 56TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 56TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734933",
            "telephone_number": "718-587-5788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS SPINE CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-09",
        "last_updated": "2023-10-09",
        "certification_date": "2023-10-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUN JU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-587-5788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens Dental Associates PC (Queens Center Dental PC)
• Queens Medical Office, P.C.
• Queens Pediatric Cardiology, PC
• Queens Physical Medicine & Rehab, PC
• Queens Rehabilitation Center
• Queens Vision Center Inc
• Mianna Rashida Questelles, LCSW
• Tanya Quinn
• Juan Luis Quintana Ruiz, M.D.
• Blessy Krista Quirante, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; 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.