Individual provider Active NPI

Hyunik Hwangbo, D.C.

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1568616845
Registry record updated Dec 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X011383 Issued in NY
Practice address
150-15 41St Ave.
#3D
Flushing, NY 11354
Phone
(718) 321-8522
Fax
(718) 321-8524
NPI assigned
Nov 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X011383 NY Primary
Chiropractor 111N00000X 001699 CT

Addresses

Primary practice location

150-15 41St Ave.
#3D
Flushing, NY 11354

Mailing address

2 Ridge Rd
B
Dobbs Ferry, NY 10522-3303
Phone (914) 885-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X011383NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Chiropractic P.C. Chiropractor CurrentSince May 14, 2009 Accepting new patients
Now Pain Clinc PC PastSince Jul 12, 2023 Accepting new patients
Grand Home Care LLC PastSince Aug 30, 2020 Accepting new patients

Locations

15015 41st Ave
Ste 2
Flushing, NY 11354
Phone (718) 321-8522

15015 41st Ave
#23
Flushing, NY 11354
Phone (718) 321-8522

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1226448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228867200000",
    "number": "1568616845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 RIDGE RD",
            "address_2": "B",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223303",
            "telephone_number": "914-885-0011",
            "fax_number": "203-325-3305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150-15 41ST AVE.",
            "address_2": "#3D",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "11354",
            "telephone_number": "718-321-8522",
            "fax_number": "718-321-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANGBO",
        "first_name": "HYUNIK",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-11-12",
        "last_updated": "2008-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X011383",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001699",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.