Organization Active NPI

East Bright Chiropractic PC

  • Chiropractor
  • Bayside, NY
National Provider Identifier
1861012718
Registry record updated Apr 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
EAST BRIGHT CHIROPRACTIC PC
Practice address
21519 39TH Ave Unit 3
Bayside, NY 11361-2114
Phone
(929) 214-3042
NPI assigned
Apr 21, 2020
Last updated
Apr 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2022

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

Authorized official

Name
Chun Hyung Park, DCNPI 1740683663
Title
Owner
Phone
(929) 214-3042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

21519 39TH Ave Unit 3
Bayside, NY 11361-2114

Mailing address

21519 39TH Ave Unit 3
Bayside, NY 11361-2114
Phone (929) 214-3042

Other practice location 1

823 56th St Fl 3
#312
Brooklyn, NY 11220-5186
Phone (201) 994-6485

National Provider Directory

National Provider Directory

Locations

21519 39th Ave
Unit 3
Bayside, NY 11361
Phone (201) 994-6485

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648857600000",
    "number": "1861012718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21519 39TH AVE UNIT 3",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612114",
            "telephone_number": "929-214-3042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21519 39TH AVE UNIT 3",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612114",
            "telephone_number": "929-214-3042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "823 56th St Fl 3",
            "address_2": "#312",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112205186",
            "country_code": "US",
            "telephone_number": "201-994-6485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST BRIGHT CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2022-04-02",
        "certification_date": "2022-04-02",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "CHUN HYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "929-214-3042",
        "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 Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2022; 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.