TJB Chiropractic PLLC

Primary specialty

Sports Physician ChiropractorTaxonomy code 111NS0005X

License

X005160 Issued in NY

Legal business name

TJB CHIROPRACTIC PLLC

Practice address

10 Hanover Square
New York, NY 10005

Phone

(646) 799-2010

NPI assigned

Jan 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Thomas J Bonacuso Jr., D.C.; CCSP

Title

President

Phone

(646) 799-2010

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1912415845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HANOVER SQUARE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10005",
            "telephone_number": "646-799-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HANOVER SQUARE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10005",
            "telephone_number": "646-799-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TJB CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "BONACUSO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-799-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.C.; CCSP"
    },
    "taxonomies": [
        {
            "code": "111NS0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": "NY",
            "license": "X005160",
            "primary": true
        },
        {
            "code": "111NS0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Sports Physician",
            "state": null,
            "license": "X005160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Randolph Tizes, MD
• Richard Ferrariz Tizon, PHARM.D, BCOP
• TJ Physical Therapy P.C.
• Hannah Tjalsma
• Joseph Tjan
• TJC Podiatry
• Olivia Tjernberg, LMSW
• Fong Lin Tjhia, PT
• Kari Christine Tjossem, PA-C
• Larisa Tkach, DDS

• Sports Physician Chiropractor in New York, NY
• Providers in New York, NY by specialty
• Sports Physician Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 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.