Mika Ishitani, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00633500 Issued in NJ

Practice address

1600 Parker Ave
Ste #1
Fort Lee, NJ 07024-7050

Phone

(201) 302-9993

Fax

(201) 302-9994

NPI assigned

Dec 9, 2005

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lusky Corp

  dba Ishitani Health Center

  • Chiropractor
  • Fort Lee, NJ
  • NPI 1407441892
  NPD

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1710962949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PARKER AVE",
            "address_2": "STE #1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247050",
            "telephone_number": "201-302-9993",
            "fax_number": "201-302-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PARKER AVE",
            "address_2": "STE #1",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247050",
            "telephone_number": "201-302-9993",
            "fax_number": "201-302-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHITANI",
        "first_name": "MIKA",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00633500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Infinity Dental Wellness LLC
• Insider Physical Therapy LLC
• Irie Salon and Spa
• Irm Success LLC
• Manuel Antonio Iser, PSY.D.
• Italk Speech & Language Center
• J&B Dental Group LLC (Feels Good Dental)
• Alvin Charles Jacobs, DDS
• Lloydine J. Jacobs, MD
• Paul Jacobs, PH.D.

• Chiropractor in Fort Lee, NJ
• Providers in Fort Lee, 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 6, 2017; 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.