JSP Chiropractic LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

JSP CHIROPRACTIC LLC

Practice address

17 Brinkerhoff Ter # 202
Palisades Park, NJ 07650-1101

Phone

(201) 313-1212

NPI assigned

May 12, 2023

Last updated

Aug 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Sungjae Park, DCNPI 1144919721

Title

Chiropractor

Phone

(201) 388-5332

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Sungjae Park

  • Chiropractor
  • Palisades Park, NJ
  • NPI 1144919721
  Medicare reassignment NPD Authorized official
• Junho Roh, PT, DPT

  • Physical Therapist
  • Union, NJ
  • NPI 1215432976
  NPD (past)

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693180800000",
    "number": "1518657352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 GORGE RD APT 5F",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102240",
            "telephone_number": "201-388-5332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 BRINKERHOFF TER # 202",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501101",
            "telephone_number": "201-313-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSP CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "SUNGJAE",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "201-388-5332",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jinyoung Sarah Jin, D.D.S.
• Peter Hyungbaik Jin, D.D.S
• Wenji Jin
• Jeannie S Joo
• Jr Physical Therapy
• Daniel Jung
• Hae Y Jung
• Kyonghwa Jung
• Richard K Jung, DDS
• Yeonsun Jung

• Chiropractor in Palisades Park, NJ
• Providers in Palisades Park, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.