Organization Active NPI

Optimum Chiropractic Health PC

Doing business as Forest Hills Chiropractic and Wellness

  • Chiropractor
  • Forest Hills, NY
National Provider Identifier
1316278260
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X007258 Issued in NY
Legal business name
OPTIMUM CHIROPRACTIC HEALTH PC
Doing business as
Forest Hills Chiropractic and Wellness
Practice address
7136 110TH St
Suite SP1
Forest Hills, NY 11375-4850
Phone
(718) 268-4464
Fax
(718) 544-0430
NPI assigned
Jan 15, 2010
Last updated
May 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Dr. Christine Antoldi, D.C.NPI 1982783668
Title
President
Phone
(718) 268-4464

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
Chiropractor 111N00000X X007258 NY Primary

Addresses

Primary practice location

7136 110TH St
Suite SP1
Forest Hills, NY 11375-4850

Mailing address

147 Mott St
Oceanside, NY 11572-5522
Phone (516) 992-2365

Other names 1

  • Forest Hills Chiropractic and Wellness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120607000190 NY Part B Supplier - Clinic/Group Practice 0648434464 Receives reassigned benefits from 1 practitioner
Practice locations: Forest Hills, NY; Oceanside, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1316278260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 MOTT ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725522",
            "telephone_number": "516-992-2365",
            "fax_number": "516-766-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 110TH ST",
            "address_2": "SUITE SP1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754850",
            "telephone_number": "718-268-4464",
            "fax_number": "718-544-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM CHIROPRACTIC HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "ANTOLDI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-268-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X007258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Forest Hills Chiropractic and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.