Organization Active NPI

Jackson Heights Total Chiropractic PC

  • Chiropractor
  • Jackson Heights, NY
National Provider Identifier
1093586182
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
JACKSON HEIGHTS TOTAL CHIROPRACTIC PC
Practice address
8211 37TH Ave Ste 602
Jackson Heights, NY 11372-7015
Phone
(718) 440-9711
NPI assigned
Jan 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Mr. Mario DuqueNPI 1538399472
Title
Owner
Phone
(917) 704-1978

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

8211 37TH Ave Ste 602
Jackson Heights, NY 11372-7015

Mailing address

4112 77TH St Ste 3
Elmhurst, NY 11373-1996
Phone (718) 440-9711

Other practice location 1

51-27 Queens Blvd
Suite 2C
Woodside, NY 11377
Phone (718) 440-9711

National Provider Directory

National Provider Directory

Locations

4112 77th St
Ste 3
Elmhurst, NY 11373

5127 Queens Blvd
Ste 2C
Woodside, NY 11377
Phone (718) 440-9711

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1093586182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 77TH ST STE 3",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731996",
            "telephone_number": "718-440-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 37TH AVE STE 602",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727015",
            "telephone_number": "718-440-9711"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51-27 Queens Blvd",
            "address_2": "Suite 2C",
            "address_purpose": "LOCATION",
            "city": "Woodside",
            "state": "NY",
            "postal_code": "11377",
            "country_code": "US",
            "telephone_number": "718-440-9711",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACKSON HEIGHTS TOTAL CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-09",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "DUQUE",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-704-1978",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.