Organization Active NPI

Go Chiropractic, P.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1821590498
Registry record updated Mar 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X012916 Issued in NY
Legal business name
GO CHIROPRACTIC, P.C.
Practice address
5037 Broadway FL 2
New York, NY 10034-1131
Phone
(917) 528-0174
NPI assigned
Feb 28, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2018

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

Authorized official

Name
Eun Ju Kim, DCNPI 1578071668
Title
Chiropractor
Phone
(917) 528-0174

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 X012916 NY Primary

Addresses

Primary practice location

5037 Broadway FL 2
New York, NY 10034-1131

Mailing address

2500 Lemoine Ave Ste 304
Fort Lee, NJ 07024-6205

National Provider Directory

National Provider Directory

Locations

2500 Lemoine Ave
Ste 304
Fort Lee, NJ 07024

5037 Broadway
Fl 2
New York, NY 10034
Phone (212) 933-4330

Practitioners & affiliated clinicians

Practitioners 1

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": "1519776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520899200000",
    "number": "1821590498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 LEMOINE AVE STE 304",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070246205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5037 BROADWAY FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341131",
            "telephone_number": "917-528-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GO CHIROPRACTIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-03-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "EUN JU",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "917-528-0174",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X012916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2018; 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.