Organization Active NPI

Lose Weight Fast Naturally LLC

Doing business as Astoria Back Pain

  • Nutrition Chiropractor
  • Astoria, NY
National Provider Identifier
1891391207
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nutrition ChiropractorTaxonomy code 111NN1001X
Legal business name
LOSE WEIGHT FAST NATURALLY LLC
Doing business as
Astoria Back Pain
Practice address
4215 Broadway
Astoria, NY 11103-2705
Phone
(201) 923-2634
NPI assigned
Dec 10, 2020
Last updated
Dec 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Authorized official

Name
Edward Esposito, MD
Title
Owner
Phone
(201) 923-2634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Chiropractor 111NN1001X Primary

Addresses

Primary practice location

4215 Broadway
Astoria, NY 11103-2705

Mailing address

4215 Broadway
Astoria, NY 11103-2705

Other names 1

  • Astoria Back Pain Doing business as

National Provider Directory

National Provider Directory

Locations

4215 Broadway
Long Is City, NY 11103
Phone (718) 908-8884

NPI Registry JSON

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608595200000",
    "number": "1891391207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 BROADWAY",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032705",
            "telephone_number": "201-923-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOSE WEIGHT FAST NATURALLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-10",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "ESPOSITO",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-923-2634",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111NN1001X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Nutrition",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Astoria Back Pain",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 22, 2020; 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.