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 7 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with 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
Code Navigator

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 NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134767833, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
6
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
8
Unchanged
Pos 9
3
Doubled → 6
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 7 → 14 → 5 7 → 14 → 5 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 1 + 4 + 6 + 1 + 4 + 8 + 6 + 24 = 67

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 67 is 70. The difference is the calculated check digit.

70 - 67 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1134767833.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134767833, enumerated 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.

Chiropractor with taxonomy code 111N00000X.