Organization Active NPI

Edison Wellness Holistic Center PC

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1578089322
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EDISON WELLNESS HOLISTIC CENTER PC
Practice address
2056A Route 27
Edison, NJ 08817-3373
Phone
(908) 705-2232
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Authorized official

Name
Dr. Hongsoon LimNPI 1023312204
Title
President
Phone
(703) 581-9552

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: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

2056A Route 27
Edison, NJ 08817-3373

Mailing address

440 Sylvan Ave Ste 135
Englewood Cliffs, NJ 07632-2736

Other names 1

  • Edison Wellness Holistic Center PC Doing business as

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": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1578089322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 SYLVAN AVE STE 135",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2056A ROUTE 27",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173373",
            "telephone_number": "908-705-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDISON WELLNESS HOLISTIC CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "HONGSOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-581-9552",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Edison Wellness Holistic Center PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.