Organization Active NPI

Queens Respiratory Care, Inc

  • Oxygen Equipment & Supplies (DME)
  • Addison, NY
National Provider Identifier
1174713671
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
QUEENS RESPIRATORY CARE, INC
Practice address
7684 State Route 417
Addison, NY 14801-9507
Phone
(607) 359-2807
NPI assigned
Jul 31, 2007
Last updated
Jul 31, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Authorized official

Name
Enrique R Ravarra
Title
Respiratory Technician
Phone
(718) 896-4542

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X NU Primary

Addresses

Primary practice location

7684 State Route 417
Addison, NY 14801-9507

Mailing address

9825 64TH Rd
Apt. 7D
Rego Park, NY 11374-3452
Phone (718) 896-4542

Other identifiers 1

IdentifierTypeStateIssuer
0867120001OtherNYPROVIDER NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185840000000",
    "number": "1174713671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9825 64TH RD",
            "address_2": "APT. 7D",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743452",
            "telephone_number": "718-896-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7684 STATE ROUTE 417",
            "city": "ADDISON",
            "state": "NY",
            "postal_code": "148019507",
            "telephone_number": "607-359-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS RESPIRATORY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A",
        "authorized_official_last_name": "RAVARRA",
        "authorized_official_first_name": "ENRIQUE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "RESPIRATORY TECHNICIAN",
        "authorized_official_telephone_number": "718-896-4542"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "0867120001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2007; 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.