Balance Wellness Chiropractic PC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

BALANCE WELLNESS CHIROPRACTIC PC

Practice address

576 Bergen Blvd Ste D
Ridgefield, NJ 07657-2042

Phone

(551) 451-9360

NPI assigned

Jul 16, 2024

Last updated

Jul 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Y Chong, DCNPI 1922587336

Title

Owner

Phone

(646) 262-7718

Specialties & licenses 1

Addresses

Locations

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.

• Matthew Yoonku Chong, DC

  • Chiropractor
  • Englewood Cliffs, NJ
  • NPI 1922587336
  Authorized official Same address or phone

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1942048830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 BERGEN BLVD STE D",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572042",
            "telephone_number": "212-202-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 BERGEN BLVD STE D",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572042",
            "telephone_number": "551-451-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE WELLNESS CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "CHONG",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-262-7718",
        "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": []
}

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• Chiropractor in Ridgefield, NJ
• Providers in Ridgefield, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.