Active NPI
Antoinette Perrie, D.C., L.AC.
- Chiropractor
- Flushing, NY
National Provider Identifier
1396821658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X002812-1
- Practice address
- 19906 47TH Ave
Flushing, NY 11358-3952 - Phone
- (718) 224-0444
- Fax
- (718) 264-1118
- NPI assigned
- Oct 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X002812-1 | NY | Primary |
| Acupuncturist | 171100000X | 001000-1 | NY |
Addresses
Primary practice location
19906 47TH Ave
Flushing, NY 11358-3952
Mailing address
19906 47TH Ave
Flushing, NY 11358-3952
Phone (718) 224-0444
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P641219 | Other | NY | OXFORD/CHIRO NUMBER |
| C002812-8B | Other | NY | NY WORKER COMP ID NUMBER |
| P2527946 | Other | NY | OXFORD/ACUPUNCTURE # |
| X3041 | Other | NY | BLUE CROSS/BLUE SHIELD |
| 4295277 | Other | NY | AETNA ID NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| X002812-1 | NY | MD | Chiropractor |
| 001000-1 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162166400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349395200000",
"number": "1396821658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19906 47TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583952",
"telephone_number": "718-224-0444",
"fax_number": "718-264-1118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19906 47TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113583952",
"telephone_number": "718-224-0444",
"fax_number": "718-264-1118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRIE",
"first_name": "ANTOINETTE",
"name_prefix": "Dr.",
"credential": "D.C., L.AC.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-30",
"last_updated": "2012-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NY",
"license": "X002812-1",
"primary": true
},
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "001000-1",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD/CHIRO NUMBER",
"identifier": "P641219",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY WORKER COMP ID NUMBER",
"identifier": "C002812-8B",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD/ACUPUNCTURE #",
"identifier": "P2527946",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "X3041",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA ID NUMBER",
"identifier": "4295277",
"state": "NY"
}
],
"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 Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.