Spine Care One Chiropractic

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X012920 Issued in NY

Legal business name

SPINE CARE ONE CHIROPRACTIC

Practice address

9701 101St Ave
Ozone Park, NY 11416-2523

Phone

(718) 835-4199

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jae Chung, DC

Title

Co-Owner

Phone

(551) 265-1694

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1508305137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE STE 303",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 101ST AVE",
            "city": "OZONE PARK",
            "state": "NY",
            "postal_code": "114162523",
            "telephone_number": "718-835-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE CARE ONE CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "JAE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "551-265-1694",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012520",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharad N Soni, M.D.
• Sound Chiropractic & Physical Therapy, PLLC
• South Richmond Hill Recovery LLC
• Jillian Southall
• Spine Care Chiropractic, PC
• Goddess Femel Stallings-Harvell
• Carol Lynn Steinberg, RPH
• Leah Stevenson
• Stracar Medical Services, P.C.
• Patricia Stuart

• Chiropractor in Ozone Park, NY
• Providers in Ozone Park, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.