Organization Active NPI

Queens Center Chiropractic PC

  • Radiology Chiropractor
  • Elmhurst, NY
National Provider Identifier
1922332329
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology ChiropractorTaxonomy code 111NR0200X
License
X2885 Issued in NY
Legal business name
QUEENS CENTER CHIROPRACTIC PC
Practice address
9131 Queens Blvd
Suite 304
Elmhurst, NY 11373-5501
Phone
(718) 507-5581
NPI assigned
Oct 1, 2009
Last updated
Jun 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Authorized official

Name
Emanuel N Tsourounakis, DCNPI 1134213911
Title
Director
Phone
(718) 507-5581

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Chiropractor 111NR0200X X2885 NY Primary

Addresses

Primary practice location

9131 Queens Blvd
Suite 304
Elmhurst, NY 11373-5501

Mailing address

9131 Queens Blvd
Suite 304
Elmhurst, NY 11373-5501
Phone (718) 507-5581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100719000001 NY Part B Supplier - Clinic/Group Practice 6002948627 Receives reassigned benefits from 1 practitioner
Practice locations: Elmhurst, NY

National Provider Directory

National Provider Directory

Locations

9131 Queens Blvd
Ste 304
Flushing, NY 11373
Phone (718) 507-5581

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1922332329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "address_2": "SUITE 304",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735501",
            "telephone_number": "718-507-5581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9131 QUEENS BLVD",
            "address_2": "SUITE 304",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735501",
            "telephone_number": "718-507-5581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS CENTER CHIROPRACTIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-01",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "TSOUROUNAKIS",
        "authorized_official_first_name": "EMANUEL",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-507-5581",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0200X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Radiology",
            "state": "NY",
            "license": "X2885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.