Organization Active NPI

Serenity Chiropractic Healthcare

  • Chiropractor
  • Astoria, NY
National Provider Identifier
1396984076
Registry record updated Feb 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X010179 Issued in NY
Legal business name
SERENITY CHIROPRACTIC HEALTHCARE
Practice address
2519 Astoria Blvd
Astoria, NY 11102-2945
Phone
(718) 278-2500
Fax
(718) 278-0600
NPI assigned
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2009

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

Authorized official

Name
Dr. Judith Castro, D.C.
Title
Owner/Chiropractor
Phone
(718) 278-2500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X010179 NY Primary

Addresses

Primary practice location

2519 Astoria Blvd
Astoria, NY 11102-2945

Mailing address

2519 Astoria Blvd
Astoria, NY 11102-2945
Phone (718) 278-2500

National Provider Directory

National Provider Directory

Locations

800 Manor Rd
Ste 2
Staten Island, NY 10314
Phone (630) 337-1475

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1396984076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2519 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022945",
            "telephone_number": "718-278-2500",
            "fax_number": "718-278-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2519 ASTORIA BLVD",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022945",
            "telephone_number": "718-278-2500",
            "fax_number": "718-278-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENITY CHIROPRACTIC HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "CASTRO",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "718-278-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010179",
            "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 Feb 19, 2009; 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.