Organization Active NPI

Park Avenue Chiropractic Healthcare P.C.

  • Chiropractor
  • Flushing, NY
National Provider Identifier
1154627446
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X009870 Issued in NY
Legal business name
PARK AVENUE CHIROPRACTIC HEALTHCARE P.C.
Practice address
14627 Beech Ave
Suite #1C
Flushing, NY 11355-2172
Phone
(718) 321-3962
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Authorized official

Name
Samue C Park
Title
D.C.
Phone
(718) 321-3962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X009870 NY Primary

Addresses

Primary practice location

14627 Beech Ave
Suite #1C
Flushing, NY 11355-2172

Mailing address

14627 Beech Ave
Suite #1C
Flushing, NY 11355-2172
Phone (718) 321-3962

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1154627446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14627 BEECH AVE",
            "address_2": "SUITE #1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552172",
            "telephone_number": "718-321-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14627 BEECH AVE",
            "address_2": "SUITE #1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113552172",
            "telephone_number": "718-321-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK AVENUE CHIROPRACTIC HEALTHCARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "SAMUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "D.C.",
        "authorized_official_telephone_number": "718-321-3962"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X009870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.