Optimal Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

OPTIMAL CHIROPRACTIC PC

Practice address

120 Sylvan Ave Ste 203
Englewood Cliffs, NJ 07632-2541

Phone

(646) 262-7718

NPI assigned

Jul 17, 2024

Organization subpart

No

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

Authorized official

Name

Matthew Yoonku Chong

Title

President

Phone

(646) 262-7718

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1721174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721174400000",
    "number": "1801634530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 SYLVAN AVE STE 203",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322541",
            "telephone_number": "646-262-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SYLVAN AVE STE 203",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322541",
            "telephone_number": "646-262-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "YOONKU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-262-7718"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.