NPIMap

Organization Active NPI

Mitchell H Faer DC LLC

  • Chiropractor
  • South Richmond Hill, NY
National Provider Identifier
1639311715
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X008237-1 Issued in NY
Legal business name
MITCHELL H FAER DC LLC
Practice address
11112 Liberty Ave
South Richmond Hill, NY 11419-1812
Phone
(718) 641-1212
NPI assigned
Apr 3, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Authorized official

Name
Dr. Mitchell Howard Faer, D.C.
Title
Chiropractor
Phone
(718) 641-1212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X X008237-1 NY Primary

Addresses

Primary practice location

11112 Liberty Ave
South Richmond Hill, NY 11419-1812

Mailing address

11112 Liberty Ave
South Richmond Hill, NY 11419-1812
Phone (718) 641-1212

National Provider Directory

National Provider Directory

Locations

11112 Liberty Ave
South Richmond Hl, NY 11419
Phone (718) 641-1212

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239321600000",
    "number": "1639311715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11112 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191812",
            "telephone_number": "718-641-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11112 LIBERTY AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191812",
            "telephone_number": "718-641-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL H FAER DC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-10",
        "status": "A",
        "authorized_official_last_name": "FAER",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "718-641-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X008237-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Richmond Hill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.