Healthcare Provider Details

I. General information

NPI: 1255276036
Provider Name (Legal Business Name): JUNKIM CHIROPRACTIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 RIVER RD STE 119B
EDGEWATER NJ
07020-1171
US

IV. Provider business mailing address

149 MAIN ST APT 505
HACKENSACK NJ
07601-7372
US

V. Phone/Fax

Practice location:
  • Phone: 201-600-6947
  • Fax:
Mailing address:
  • Phone: 201-600-6947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number StateNULL

VIII. Authorized Official

Name: JUNSEOP KIM
Title or Position: OWNER
Credential:
Phone: 551-574-5238