Organization Active NPI

Roh Chiropractic LLC

  • Chiropractor
  • Palisades Park, NJ
National Provider Identifier
1679176598
Registry record updated Nov 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
ROH CHIROPRACTIC LLC
Practice address
21 Grand Ave Ste 503
Palisades Park, NJ 07650-1083
Phone
(201) 941-0990
Fax
(888) 404-1323
NPI assigned
Nov 21, 2020
Last updated
Nov 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2020

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

Authorized official

Name
Dr. Seung C Roh, DCNPI 1225135866
Title
President
Phone
(201) 941-0990

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

21 Grand Ave Ste 503
Palisades Park, NJ 07650-1083

Mailing address

21 Grand Ave Ste 503
Palisades Park, NJ 07650-1083
Phone (201) 941-0990

Other identifiers 1

IdentifierTypeStateIssuer
38MC00690500OtherNJLICENSE

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1605916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605916800000",
    "number": "1679176598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE STE 503",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501083",
            "telephone_number": "201-941-0990",
            "fax_number": "888-404-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 GRAND AVE STE 503",
            "city": "PALISADES PARK",
            "state": "NJ",
            "postal_code": "076501083",
            "telephone_number": "201-941-0990",
            "fax_number": "888-404-1323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROH CHIROPRACTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-21",
        "last_updated": "2020-11-21",
        "certification_date": "2020-11-21",
        "status": "A",
        "authorized_official_last_name": "ROH",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-941-0990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "38MC00690500",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palisades Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2020; 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.