NPIMap

Organization Active NPI

Comfort Zone Chiropractic & Rehabilitation, LLC

  • Chiropractor
  • Mount Laurel, NJ
National Provider Identifier
1477799641
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
MC05716 Issued in NJ
Legal business name
COMFORT ZONE CHIROPRACTIC & REHABILITATION, LLC
Practice address
3829 Church Rd
Suite B
Mount Laurel, NJ 08054-1105
Phone
(856) 234-1200
Fax
(856) 787-1901
NPI assigned
Dec 18, 2008
Last updated
Nov 25, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Dr. Samue Park, D.C
Title
Ceo
Phone
(856) 234-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X MC05716 NJ Primary

Addresses

Primary practice location

3829 Church Rd
Suite B
Mount Laurel, NJ 08054-1105

Mailing address

3829 Church Rd
Suite B
Mount Laurel, NJ 08054-1105
Phone (856) 234-1200

National Provider Directory

National Provider Directory

Locations

3829 Church Rd
#B
Mount Laurel, NJ 08054
Phone (856) 234-1200

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1477799641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3829 CHURCH RD",
            "address_2": "SUITE B",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541105",
            "telephone_number": "856-234-1200",
            "fax_number": "856-787-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 CHURCH RD",
            "address_2": "SUITE B",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541105",
            "telephone_number": "856-234-1200",
            "fax_number": "856-787-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMFORT ZONE CHIROPRACTIC & REHABILITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SAMUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-234-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "MC05716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.