NPIMap

Organization Active NPI

New Jersey Pain Care & Chiropractic P.C.

  • Chiropractor
  • Edison, NJ
National Provider Identifier
1831444033
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38MC00496400 Issued in NJ
Legal business name
NEW JERSEY PAIN CARE & CHIROPRACTIC P.C.
Practice address
1581 Route 27
Unit # 4
Edison, NJ 08817-3477
Phone
(732) 372-0225
NPI assigned
Jul 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dae Kim
Title
Manager
Phone
(732) 372-0225

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38MC00496400 NJ Primary

Addresses

Primary practice location

1581 Route 27
Unit # 4
Edison, NJ 08817-3477

Mailing address

1581 Route 27
Unit # 4
Edison, NJ 08817-3477

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.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1831444033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 ROUTE 27",
            "address_2": "UNIT # 4",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 ROUTE 27",
            "address_2": "UNIT # 4",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173477",
            "telephone_number": "732-372-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW JERSEY PAIN CARE & CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "732-372-0225"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00496400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.