Organization Active NPI

Jin Woo Jong Chiropractic P.C.

  • Preferred Provider Organization
  • Hauppauge, NY
National Provider Identifier
1528438157
Registry record updated Sep 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
X012681-1 Issued in NY
Legal business name
JIN WOO JONG CHIROPRACTIC P.C.
Practice address
750 Veterans Memorial Hwy
#103
Hauppauge, NY 11788-2943
Phone
(631) 459-9191
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2015

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

Authorized official

Name
Dr. Jin Woo Jong, DC
Title
Owner
Phone
(718) 938-2648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X X012681-1 NY Primary

Addresses

Primary practice location

750 Veterans Memorial Hwy
#103
Hauppauge, NY 11788-2943

Mailing address

321 Brook Ave
2B
Bay Shore, NY 11706-5627

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443052800000",
    "number": "1528438157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 BROOK AVE",
            "address_2": "2B",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 VETERANS MEMORIAL HWY",
            "address_2": "#103",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117882943",
            "telephone_number": "631-459-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIN WOO JONG CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2015-09-24",
        "status": "A",
        "authorized_official_last_name": "JONG",
        "authorized_official_first_name": "JIN WOO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-938-2648",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NY",
            "license": "X012681-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hauppauge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; 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.