Jaeho Shin Chiropractic, PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X011688 Issued in NY

Legal business name

JAEHO SHIN CHIROPRACTIC, PC

Practice address

4110 163Rd St FL 1
Flushing, NY 11358-2606

Phone

(347) 732-0396

Fax

(347) 732-9172

NPI assigned

Apr 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jaeho Shin, DC

Title

President

Phone

(347) 732-0396

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Randy F Lomboy, PT

  • Physical Therapist
  • North Baldwin, NY
  • NPI 1699973875
  NPD (past)
• Desiree Lopez, P.T.

  • Physical Therapist
  • Valley Stream, NY
  • NPI 1710919154
  NPD (past)

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

{
    "created_epoch": "1301875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301875200000",
    "number": "1467741074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 163RD ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582606",
            "telephone_number": "347-732-0396",
            "fax_number": "347-732-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4110 163RD ST FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582606",
            "telephone_number": "347-732-0396",
            "fax_number": "347-732-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAEHO SHIN CHIROPRACTIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-04",
        "last_updated": "2011-04-04",
        "status": "A",
        "authorized_official_last_name": "SHIN",
        "authorized_official_first_name": "JAEHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-732-0396",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1679703979",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry L. Jacobson, DMD
• Sana Jadallah, MD
• Neisha A Jadoonanan, PT
• Jae Hong Min, M.D.,P.C.
• Jae Il Pharmacy Inc
• Jaekwan Lee Physical Therapy PC
• Jaesae Acupuncture PC
• Amir K Jaffer, MD
• Ailya Batool Jafri
• Dana Jaggessarsingh, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; 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.