QUEENS BOULEVARD CHIROPRACTIC P.C.
NPI 1134767833
Chiropractor in Woodside, NY

NPI Status: Active since December 13, 2019

Contact Information

51-27 QUEENS BLVD
2ND FL 2C
WOODSIDE, NY
ZIP 11377
Phone: (929) 463-3049
Fax: (929) 463-3421

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  • Organization
  • Chiropractor
  • CLIA Number: 33D2192287
  • CLIA Cert. Type: End Stage Renal Disease Dialysis Facility
  • CLIA Exp. Date: 03-26-2027

About QUEENS BOULEVARD CHIROPRACTIC P.C.

This page provides the complete NPI Profile along with additional information for Queens Boulevard Chiropractic P.c., a provider established in Woodside, New York operating as a Chiropractor. The healthcare provider is registered in the NPI registry with number 1134767833 assigned on December 2019. The practitioner's primary taxonomy code is 111N00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Mario Duque Dc (President)

NPI
1134767833
Provider Name
QUEENS BOULEVARD CHIROPRACTIC P.C.
Entity Type
Organization
Location Address
51-27 QUEENS BLVD 2ND FL 2C WOODSIDE, NY 11377
Location Phone
(929) 463-3049
Location Fax
(929) 463-3421
Mailing Address
7217 34TH AVE APT 1E JACKSON HEIGHTS, NY 11372
Mailing Phone
(917) 704-1978
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-13-2019
Last Update Date
12-13-2019
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A chiropractor like Queens Boulevard Chiropractic P.c. helps patients with problems of the neuromusculoskeletal system, which includes nerves, bones, muscles, ligaments, and tendons. Chiropractors use spinal adjustments and manipulation, as well as other clinical interventions, to manage health issues such as back and neck pain. Some chiropractors apply procedures like massage therapy, rehabilitative exercise, ultrasound and spinal adjustments and manipulation. A chiropractor focuses on the patients overall health and might refer patients to other healthcare professionals if necessary.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Chiropractor

Taxonomy Code
111N00000X
Type
Chiropractic Providers
Taxonomy Description
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARIO DUQUE DC

Authorized Official Title
PRESIDENT
Authorized Official Phone
(917) 704-1978

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D2192287
Facility Type
End Stage Renal Disease Dialysis Facility
Certificate Effective Date
September 09, 2020
Certificate Expiration Date
March 26, 2027
Laboratory Director
DR. NIMESH A. PATEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Queens Boulevard Chiropractic P.c. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1134767833
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21641461486
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 6 + 4 + 1 + 4 + 6 + 1 + 4 + 8 + 6 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1134767833 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134767833, enumerated in the NPI registry as an "organization" on December 13, 2019

The provider is located at 51-27 Queens Blvd 2nd Fl 2c Woodside, Ny 11377 and the phone number is (929) 463-3049

This medical organization specializes in Chiropractor with taxonomy code 111N00000X

The provider's CLIA number is 33D2192287 for a "end stage renal disease dialysis facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 13, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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