Active NPI
Optimum Chiropractic Health PC
Doing business as Forest Hills Chiropractic and Wellness
- Chiropractor
- Forest Hills, NY
National Provider Identifier
1316278260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X007258
- 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, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Christine Antoldi, D.C.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Chiropractor
- Forest Hills, NY
- NPI 1982783668
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.