Alexander J. Kishyk, D.C. LLC

Organization Active NPI Chiropractor · Somerville, NJ

NPI 1992238729 · NPPES record last updated Apr 27, 2017

Key facts

NPI
1992238729
Entity type
Organization (NPI type 2)
Primary specialty
Chiropractor 111N00000X
License
38MC00381300 (NJ)
Legal business name
ALEXANDER J. KISHYK, D.C. LLC
Practice address
373 E Main St Ste 10
Somerville, NJ 08876-3143
Phone
(908) 526-5868
Fax
(908) 252-9826
NPI assigned
Apr 8, 2017
Organization subpart
No

Authorized official

Name
Alexander J. Kishyk, D.C.
Title
Owner
Phone
(908) 526-5868

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor
Group: 193400000X SINGLE SPECIALTY GROUP
111N00000X 38MC00381300 NJ Yes

Addresses

Primary practice location

373 E Main St Ste 10
Somerville, NJ 08876-3143

Mailing address

373 E Main St Ste 10
Somerville, NJ 08876-3143
Phone (908) 526-5868

Other names

  • Somerset County Chiropactic Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 27, 2017.

{
    "created_epoch": "1491609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1992238729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 E MAIN ST STE 10",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763143",
            "telephone_number": "908-526-5868",
            "fax_number": "908-252-9826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 E MAIN ST STE 10",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763143",
            "telephone_number": "908-526-5868",
            "fax_number": "908-252-9826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEXANDER J. KISHYK, D.C. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-08",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "KISHYK",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-526-5868",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NJ",
            "license": "38MC00381300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somerset County Chiropactic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerville, NJ

All providers in Somerville, NJ · Chiropractor in New Jersey

Sources for this page

Verify at the official NPI Registry.