NPIMap

Organization Active NPI

Astoria Advanced and Integrative Medicine PC

  • Pulmonary Disease Physician
  • Astoria, NY
National Provider Identifier
1063700367
Registry record updated Jul 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
ASTORIA ADVANCED AND INTEGRATIVE MEDICINE PC
Practice address
3080 21St St
2ND Floor Medical Center
Astoria, NY 11102-4242
Phone
(718) 873-9550
Fax
(718) 228-4591
NPI assigned
Jul 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Peggy L Voelpel
Title
Director Credentialing & Compliance
Phone
(321) 724-8398

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X

Addresses

Primary practice location

3080 21St St
2ND Floor Medical Center
Astoria, NY 11102-4242

Mailing address

3080 21St St
2ND Floor Medical Center
Astoria, NY 11102-4242
Phone (718) 873-9550

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311206400000",
    "number": "1063700367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 21ST ST",
            "address_2": "2ND FLOOR MEDICAL CENTER",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024242",
            "telephone_number": "718-873-9550",
            "fax_number": "718-228-4591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 21ST ST",
            "address_2": "2ND FLOOR MEDICAL CENTER",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111024242",
            "telephone_number": "718-873-9550",
            "fax_number": "718-228-4591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASTORIA ADVANCED AND INTEGRATIVE MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-20",
        "last_updated": "2011-07-21",
        "status": "A",
        "authorized_official_last_name": "VOELPEL",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR CREDENTIALING & COMPLIANCE",
        "authorized_official_telephone_number": "321-724-8398",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.