Organization Active NPI

Quorum Vitals Inc

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1205497955
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
QUORUM VITALS INC
Practice address
16410 Northern Blvd Ste 206
Flushing, NY 11358-2668
Phone
(718) 321-2940
Fax
(718) 321-2942
NPI assigned
Jun 24, 2019
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Petronela Antohi, MD
Title
President
Phone
(516) 451-0367

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

16410 Northern Blvd Ste 206
Flushing, NY 11358-2668

Mailing address

12 Pitcher Way
Hillsborough, NJ 08844-5298
Phone (516) 451-0367

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1205497955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PITCHER WAY",
            "city": "HILLSBOROUGH",
            "state": "NJ",
            "postal_code": "088445298",
            "telephone_number": "516-451-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16410 NORTHERN BLVD STE 206",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582668",
            "telephone_number": "718-321-2940",
            "fax_number": "718-321-2942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUORUM VITALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "ANTOHI",
        "authorized_official_first_name": "PETRONELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-451-0367",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Jun 24, 2019; 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.