Organization Active NPI

Ies Medical

  • Physical Therapy Clinic/Center
  • Astoria, NY
National Provider Identifier
1235333550
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
028614 Issued in NY
Legal business name
IES MEDICAL
Practice address
3804 31St Ave
Astoria, NY 11103-3800
Phone
(718) 726-0404
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Charles Krieger
Title
Chiropractor
Phone
(718) 726-0404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 028614 NY Primary

Addresses

Primary practice location

3804 31St Ave
Astoria, NY 11103-3800

Mailing address

3804 31St Ave
Astoria, NY 11103-3800
Phone (718) 726-0404

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235333550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3804 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033800",
            "telephone_number": "718-726-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3804 31ST AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033800",
            "telephone_number": "718-726-0404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IES MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRIEGER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "718-726-0404",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NY",
            "license": "028614",
            "primary": true
        }
    ],
    "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 Aug 22, 2020; 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.