Organization Active NPI

KJ Kim Chiropractic PC

  • Chiropractor
  • New York, NY
National Provider Identifier
1861385148
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
KJ KIM CHIROPRACTIC PC
Practice address
12 E 44TH St FL 5
New York, NY 10017-3624
Phone
(929) 777-0754
NPI assigned
Jun 3, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Authorized official

Name
Dr. Kyung Joon Kim, DC (CHIROPRACTIC)NPI 1215618897
Title
President/ Chiropractic
Phone
(929) 777-0754

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 Primary

Addresses

Primary practice location

12 E 44TH St FL 5
New York, NY 10017-3624

Mailing address

4312 54TH St
Woodside, NY 11377-4639
Phone (929) 777-0754

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": "1748908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748908800000",
    "number": "1861385148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4312 54TH ST",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "113774639",
            "telephone_number": "929-777-0754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 44TH ST FL 5",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100173624",
            "telephone_number": "929-777-0754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KJ KIM CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "KYUNG JOON",
        "authorized_official_title_or_position": "PRESIDENT/ CHIROPRACTIC",
        "authorized_official_telephone_number": "929-777-0754",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC (CHIROPRACTIC)"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "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 Jun 3, 2025; 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.