Active NPI
Jun Dong, D.C.
- Chiropractor
- New York, NY
National Provider Identifier
1881769529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X010333
- Practice address
- 141 E 55TH St
Suite 5E
New York, NY 10022-4030 - Phone
- (917) 882-6826
- Fax
- (212) 317-1968
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X010333 | NY | Primary |
| Chiropractor | 111N00000X | 38MC00601200 | NJ |
Addresses
Primary practice location
141 E 55TH St
Suite 5E
New York, NY 10022-4030
Mailing address
141 E 55TH St
Suite 5E
New York, NY 10022-4030
Phone (917) 882-6826
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38MC00601200 | NJ | MD | Chiropractor |
| X010333 | NY | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1881769529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 E 55TH ST",
"address_2": "SUITE 5E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224030",
"telephone_number": "917-882-6826",
"fax_number": "212-317-1968"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 E 55TH ST",
"address_2": "SUITE 5E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100224030",
"telephone_number": "917-882-6826",
"fax_number": "212-317-1968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONG",
"first_name": "JUN",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X010333",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00601200",
"primary": false
}
],
"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 Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.