Active NPIIndividual providerSole proprietor

Dr. Jae Chung, DC

Chiropractor in Bronx, New York

NPI Number1558746057
Practice location
424 E 147TH St Fl 2, Bronx, NY 10455-4104
Fax
—
Last updated
March 17, 2018

Jae Chung is a Chiropractor based in Bronx, NY. Jae Chung practices in Bronx, NY and has the professional credentials of DC. The NPI Number for Jae Chung is 1558746057 and holds a License No. 38mc00723200 (NJ). The current practice location address for Jae Chung is 424 E 147TH St Fl 2, Bronx, NY 10455-4104 and can be reached out via phone at 917-645-5150.

Provider Profile Details

NPI Number
1558746057
Provider Name
Jae Chung
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
424 E 147TH St Fl 2, Bronx, NY 10455-4104
Phone Number
917-645-5150
Primary Taxonomy
Chiropractor · 111N00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 25, 2015
Last Update Date
March 17, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
424 E 147TH St Fl 2
Bronx, NY 10455-4104
City
Bronx
Zip
10455-4104
Phone Number
917-645-5150
Bronx, NY 10455Get directions →

Provider Business Mailing Address Details

Address
2500 Lemoine Ave Ste 303
Fort Lee, NJ 07024-6205
City
Fort Lee
State
NJ
Zip
07024-6205
Phone Number
201-363-0233
Fax Number
201-363-0266

License Information

License Number (1)
38mc00723200
License State (1)
NJ
Taxonomy (1)
Chiropractor · 111N00000X
License Number (2)
x012520
License State (2)
NY
Taxonomy (2)
Chiropractor · 111N00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jae Chung, DC?

The NPI number of Dr. Jae Chung, DC is 1558746057. It was assigned on July 25, 2015 and is currently active in the NPPES registry.

What is the specialty of Dr. Jae Chung, DC?

Dr. Jae Chung, DC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38mc00723200.

Where does Dr. Jae Chung, DC practice?

The practice location is 424 E 147TH St Fl 2, Bronx, NY 10455-4104. The office can be reached at 917-645-5150 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558746057 directly on the NPPES registry website.

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