Organization Active NPI

Fidi Wellness Chiropractic P.C.

  • Chiropractor
  • New York, NY
National Provider Identifier
1952212961
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
FIDI WELLNESS CHIROPRACTIC P.C.
Practice address
42 Broadway Ste 1219
New York, NY 10004-3834
Phone
(929) 412-2654
NPI assigned
Sep 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Jaesung Park, DC
Title
President
Phone
(475) 988-7695

Specialties & licenses 1

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

Addresses

Primary practice location

42 Broadway Ste 1219
New York, NY 10004-3834

Mailing address

42 Broadway Ste 1219
New York, NY 10004-3834
Phone (929) 412-2654

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1952212961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 BROADWAY STE 1219",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043834",
            "telephone_number": "929-412-2654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 BROADWAY STE 1219",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043834",
            "telephone_number": "929-412-2654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIDI WELLNESS CHIROPRACTIC P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JAESUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "475-988-7695",
        "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 New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; 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.