Organization Active NPI

Ej Chiropractic, P.C.

  • Chiropractor
  • Bronx, NY
National Provider Identifier
1497318752
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EJ CHIROPRACTIC, P.C.
Practice address
3250 Westchester Ave Ste 205
Bronx, NY 10461-4580
Phone
(347) 657-1411
NPI assigned
Apr 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Authorized official

Name
Eun Ju KimNPI 1578071668
Title
Owner
Phone
(917) 528-0174

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

3250 Westchester Ave Ste 205
Bronx, NY 10461-4580

Mailing address

3407 58TH St Apt 3R
Woodside, NY 11377-2100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555891200000",
    "number": "1497318752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 58TH ST APT 3R",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113772100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 WESTCHESTER AVE STE 205",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104614580",
            "telephone_number": "347-657-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EJ CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-22",
        "last_updated": "2019-04-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUN JU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-528-0174"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2019; 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.