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
-
Mark S Corkin, D.C.
-
James Ralph Golding, D.C., C.A.
-
Kenneth M Kearstan, D.C.
-
William Joseph Neenan, P. T.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
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
NPI Registry JSON
{
"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"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.