Ideal Spine and Joint Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

IDEAL SPINE AND JOINT CHIROPRACTIC PC

Practice address

1930 Marlton Pike E Ste F33
Cherry Hill, NJ 08003-2150

Phone

(856) 234-1200

Fax

(856) 234-1206

NPI assigned

Apr 11, 2024

Last updated

Apr 11, 2024By 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

Dr. Yoon Sang Song, DCNPI 1952868804

Title

Chiropractor

Phone

(856) 234-1200

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

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.

• Yoon Sang Song, DC

  • Chiropractor
  • Cherry Hill, NJ
  • NPI 1952868804
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1578317103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE F33",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-234-1200",
            "fax_number": "856-234-1206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 MARLTON PIKE E STE F33",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032150",
            "telephone_number": "856-234-1200",
            "fax_number": "856-234-1206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL SPINE AND JOINT CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "YOON SANG",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "856-234-1200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Lourdes Dizon Ibay, MD
• Enas Ibrahim, PA-C
• Ibrng
• Muhaimin Id'Deen, CPHT
• Ideal Health Care LLC
• Martin Igoe
• Amanda J Ihlenfeld, MSW, LSW
• Imee Irene a. Ikalina-Paras, PT
• Marla Ikalina, MSW
• Nikki Ilustre, PT

• Chiropractor in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.