EDISON CHIROPRACTIC, LLC (NPI# 1598364127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598364127 |
| Entity Type | Organization |
| Organization Name | EDISON CHIROPRACTIC, LLC |
| Practice Address |
1581 Route 27 Unit 4 Edison NJ 08817-3477 |
| Practice Telephone | 7323270225 |
| Mailing Telephone | 7323270225 |
| Enumeration Date | 2020-10-24 |
| Last Update Date | 2020-10-24 |
| Authorized Official Name | DUCKSOON PARK (OWNER) |
| Authorized Official Telephone | 2013105193 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
1581 ROUTE 27 UNIT 4 |
| City | EDISON |
| State | NJ |
| Zip Code | 08817-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862750 | Ling Zhu | Pharmacist | 2124 A State Route 27, Edison, NJ 08817 | 2020-08-18 |
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1518582956 | Ismile Dental Care of Edison | Dentist | 1914 B Route 27, Edison, NJ 08817 | 2020-06-11 |
| 1437704905 | Ethel Diagnostic Laboratory | Pathology | 4 Ethel Road, Suite 402a, Edison, NJ 08817 | 2019-08-01 |
| 1316509250 | Hyun Sang Lee | Optometrist | 2210 Route 27 North, Edison, NJ 08817 | 2019-07-01 |
| 1578022851 | Labor of Love Healthcare LLC | Nursing Care | 1967 Lincoln Highway, Suite 33, Edison, NJ 08817 | 2019-03-18 |
| 1932664349 | Marlene Bott | Occupational Therapist | 2035 Lincoln Highway, Edison Square West, Edison, NJ 08817 | 2019-02-11 |
| 1174092928 | Neil Bakhru | Occupational Therapist | 802 Merrywood Drive, Edison, NJ 08817 | 2018-11-21 |
| 1164912697 | Milton Perez | Driver | 14m Reading Rd, Edison, NJ 08817 | 2018-05-10 |
| 1366931891 | Roseanna Perez | Recreation Therapist | 14m Reading Rd., Edison, NJ 08817 | 2018-05-10 |
| Find all providers in zip 08817 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780223057 | Ds Kim Chiro Nj PC | Chiropractor | 2056a State Route 27, Edison, NJ 08817-3373 | 2020-01-03 |
| 1447802855 | Matthew Scott Eagelton | Chiropractor | 44 Lincoln Hwy Ste 220d, Edison, NJ 08820-3978 | 2019-07-15 |
| 1093216947 | Edison Health and Rehabilitation | Chiropractor | 191 Talmadge Rd, Edison, NJ 08817-2848 | 2018-02-26 |
| 1578089322 | Edison Wellness Holistic Center PC | Chiropractor | 2056a Route 27, Edison, NJ 08817-3373 | 2017-08-14 |
| 1053654616 | Michael Leslie Baer | Chiropractor | 45 Hansen Dr, Edison, NJ 08820-1677 | 2013-04-02 |
| 1760705552 | Sm Chiropractic & Pain Clinic P.C. | Chiropractor | 1711 Route 27, Edison, NJ 08817-3471 | 2010-03-08 |
| 1104159292 | Dino Corrado Derobertis | Chiropractor | 72 Stony Rd, Edison, NJ 08817-3722 | 2009-09-08 |
| 1770767089 | Jeffrey Marc Tanzman | Chiropractor | 1716 Highway 27, Edison, NJ 08817-3449 | 2007-12-21 |
| 1083815542 | Frank Ralph Dipasquale | Chiropractor | 3 Route 27, Suite 106, Edison, NJ 08820 | 2007-05-30 |
| 1346458148 | Beverly Stewart | Chiropractor | 15 Remington Dr, Edison, NJ 08820-3626 | 2007-05-18 |
| Find all providers in EDISON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.