Ideal Spine and Joint Chiropractic PC
NPI 1578317103ActiveOrganization· Chiropractor· Cherry Hill, NJ
Chiropractor in Cherry Hill, New Jersey, registered in NPPES in April 2024. The authorized official on file is Yoon Sang Song, DC, Chiropractor. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1578317103 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 11, 2024 |
| Last updated in NPPES | Apr 11, 2024 |
| Certified by provider | Apr 11, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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