Active NPI
Antioquia Chiropractic P.C
- Chiropractor
- Forest Hills, NY
National Provider Identifier
1801396353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- X-009105
- Legal business name
- ANTIOQUIA CHIROPRACTIC P.C
- Practice address
- 11247 Queens Blvd Ste 208
Forest Hills, NY 11375-7421 - Phone
- (718) 544-4141
- NPI assigned
- Feb 20, 2018
- 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. Mario Duque, DC
- Title
- President
- Phone
- (917) 704-1978
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X-009105 | NY | Primary |
Addresses
Primary practice location
11247 Queens Blvd Ste 208
Forest Hills, NY 11375-7421
Mailing address
7217 34TH Ave Apt 1E
Jackson Heights, NY 11372-1023
Phone (917) 704-1978
Other names 1
- None
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Rockaway Park, NY
- NPI 1275779019
-
- Pediatric Occupational Therapist
- Flushing, NY
- NPI 1033363114
-
- Occupational Therapist
- Oakland Gardens, NY
- NPI 1548469034
-
- Occupational Therapist
- Flushing, NY
- NPI 1164677522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1519084800000",
"number": "1801396353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7217 34TH AVE APT 1E",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113721023",
"telephone_number": "917-704-1978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11247 QUEENS BLVD STE 208",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113757421",
"telephone_number": "718-544-4141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTIOQUIA CHIROPRACTIC P.C",
"organizational_subpart": "NO",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A",
"authorized_official_last_name": "DUQUE",
"authorized_official_first_name": "MARIO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-704-1978",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X-009105",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "None",
"code": "5",
"type": "Other Name"
}
]
}
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 Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.