NPIMap

Organization Active NPI

Kim Chiropractic, P.C.

  • Chiropractor
  • Jamaica, NY
National Provider Identifier
1699544056
Registry record updated Dec 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KIM CHIROPRACTIC, P.C.
Practice address
15280 Rockaway Blvd
Jamaica, NY 11434-2800
Phone
(347) 467-6655
NPI assigned
Dec 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2023

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

Authorized official

Name
Jonghwi Kim, DCNPI 1558809186
Title
President
Phone
(302) 434-0101

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

15280 Rockaway Blvd
Jamaica, NY 11434-2800

Mailing address

500 Monmouth Dr
Mount Laurel, NJ 08054-5716
Phone (302) 434-0101

National Provider Directory

National Provider Directory

Locations

15280 Rockaway Blvd
Jamaica, NY 11434
Phone (347) 467-6655

Practitioners & affiliated clinicians

Practitioners 2

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": "1703635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703635200000",
    "number": "1699544056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MONMOUTH DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080545716",
            "telephone_number": "302-434-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15280 ROCKAWAY BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342800",
            "telephone_number": "347-467-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-27",
        "last_updated": "2023-12-27",
        "certification_date": "2023-12-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONGHWI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-434-0101",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2023; 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.