Individual provider Active NPI

Jin Kong Chen, D.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1457616476
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
0122111 Issued in NY
Practice address
89 Bowery FL 4
New York, NY 10002-4915
Phone
(212) 966-9899
NPI assigned
Jul 5, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 0122111 NY Primary
Chiropractor 111N00000X 038012209 IL

Addresses

Primary practice location

89 Bowery FL 4
New York, NY 10002-4915

Mailing address

89 Bowery FL 4
New York, NY 10002-4915
Phone (212) 966-9899

Other practice location 1

80 Bowery
Rm 403
New York, NY 10013-4614
Phone (212) 966-9899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130401000029 NY Practitioner - Chiropractic 0042455743 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
038012209ILMDChiropractor
012211NYMDSpeech-Language Pathologist
0122111NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pain Care Chiropractic Chiropractor CurrentSince Feb 2, 2013 Accepting new patients

Locations

80 Bowery
Rm 403
New York, NY 10013
Phone (212) 343-9716

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.

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1457616476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "89 BOWERY FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024915",
            "telephone_number": "212-966-9899",
            "fax_number": "212-966-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89 BOWERY FL 4",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024915",
            "telephone_number": "212-966-9899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Bowery",
            "address_2": "Rm 403",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100134614",
            "country_code": "US",
            "telephone_number": "212-966-9899",
            "fax_number": "212-966-9797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEN",
        "first_name": "JIN",
        "middle_name": "KONG",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-05",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "0122111",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038012209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.