Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

So Y Kwon, DC

Individual provider Chiropractor · NPI 1588242788

So Y Kwon, DC is a Chiropractic in Hackensack, New Jersey. Qualified in 2020, 6 years ago. Practices with Sportsmed PT LLC, a 214-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2021
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

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Practice location Address checks out

277 Prospect Ave Ste LG
Hackensack, NJ 07601-2539
Phone: (201) 966-0303
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Chiropractor (primary) Taxonomy 111N00000X · Licence 38MC00780300 (NJ)

Record details

NPI number1588242788
Entity typeIndividual (Type 1)
GenderFemale
Credentials DC
Sole proprietorNo
NPI enumeratedMarch 30, 2021
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021
Mailing address277 Prospect Ave Ste Lg, Hackensack, NJ 07601-2539

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCHIROPRACTIC
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sportsmed Pt Llc — 214 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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