MK Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00698300 Issued in NJ

Legal business name

MK CHIROPRACTIC PC

Practice address

333 Sylvan Ave
Suite 301
Englewood Cliffs, NJ 07632-2724

Phone

(201) 227-8275

Fax

(201) 227-6113

NPI assigned

Mar 12, 2012

Organization subpart

No

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

Authorized official

Name

Dong Suk Kim, D.C.

Title

President

Phone

(917) 842-1412

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1331510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331510400000",
    "number": "1487929212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SYLVAN AVE",
            "address_2": "SUITE 301",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 SYLVAN AVE",
            "address_2": "SUITE 301",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322724",
            "telephone_number": "201-227-8275",
            "fax_number": "201-227-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MK CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-12",
        "last_updated": "2012-03-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG SUK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-842-1412",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00698300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa M Michalski
• Midwest Therapeutics LLC
• Jane E Miller, MD
• Martha B Miqueo, D.D.S.
• Elizabeth Lauren Mitrani, DDS
• Arianna Mohamed
• Kevin Sung Moon, DMD
• Taewon Moon
• Brittany Morales, PA-C
• Boris Mordkovich, M.D.

• Chiropractor in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2012; 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.