Organization Active NPI

Choice Total Pain Clinic, P.C.

  • Rehabilitation Chiropractor
  • Fort Lee, NJ
National Provider Identifier
1588067730
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation ChiropractorTaxonomy code 111NR0400X
License
38MC00671900 Issued in NJ
Legal business name
CHOICE TOTAL PAIN CLINIC, P.C.
Practice address
1638 Schlosser St
Suite D4
Fort Lee, NJ 07024-5650
Phone
(201) 585-8300
NPI assigned
Oct 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

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

Authorized official

Name
Dr. Seung M Lee, D.C.
Title
Director
Phone
(201) 585-8300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111NR0400X 38MC00671900 NJ Primary

Addresses

Primary practice location

1638 Schlosser St
Suite D4
Fort Lee, NJ 07024-5650

Mailing address

1638 Schlosser St
Suite D4
Fort Lee, NJ 07024-5650
Phone (201) 585-8300

National Provider Directory

National Provider Directory
Tax ID family
Choice Total Pain Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412208000000",
    "number": "1588067730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 SCHLOSSER ST",
            "address_2": "SUITE D4",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245650",
            "telephone_number": "201-585-8300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 SCHLOSSER ST",
            "address_2": "SUITE D4",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070245650",
            "telephone_number": "201-585-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE TOTAL PAIN CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "201-585-8300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "NJ",
            "license": "38MC00671900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lee, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.