Park Chiropractic Clinic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

38MC00504100 Issued in NJ

Legal business name

PARK CHIROPRACTIC CLINIC, LLC

Practice address

464 Hudson Terr.
Suite 204
Englewood Cliffs, NJ 07632-2514

Phone

(201) 956-4146

Fax

(201) 894-5450

NPI assigned

Jun 14, 2013

Organization subpart

No

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

Authorized official

Name

Ducksoon Park, D.C.

Title

President

Phone

(201) 956-4146

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1972942704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 HUDSON TERR.",
            "address_2": "SUITE 204",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322514",
            "telephone_number": "201-956-4146",
            "fax_number": "201-894-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 HUDSON TERR.",
            "address_2": "SUITE 204",
            "city": "ENGLEWOOD CLIFFS",
            "state": "NJ",
            "postal_code": "076322514",
            "telephone_number": "201-956-4146",
            "fax_number": "201-894-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK CHIROPRACTIC CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-14",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "DUCKSOON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "201-956-4146",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00504100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hai Sun Park, M.D.

• Chiropractor in Englewood Cliffs, NJ
• Providers in Englewood Cliffs, NJ by specialty
• Chiropractor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.