Manuela Quiceno Quintero, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

5910 Junction Blvd
Flushing, NY 11373-5156

Phone

(718) 592-3200

NPI assigned

Aug 29, 2023

Last updated

Aug 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Harold Weissman MD PC

  dba Rego Park Medical Associates

  • Multi-Specialty Clinic/Center
  • Elmhurst, NY
  • NPI 1639371586
  Medicare reassignment

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

{
    "created_epoch": "1693267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693267200000",
    "number": "1063297919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5910 JUNCTION BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113735156",
            "telephone_number": "516-734-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5910 JUNCTION BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113735156",
            "telephone_number": "718-592-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICENO QUINTERO",
        "first_name": "MANUELA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-29",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Queens-Long Island Oncology & Hematology, P.C.
• Queensboro Dental PC
• Queensboro Dental PC
• Queensboro Oral Surgery Associates
• Arturo Ernesto Quesada Gomez
• Teresita Quijano
• Noemi Quijote, RPT
• Nikoleta Fiona Quinn, M.A
• Quinta Physical Therapy PC
• Diether Paul Ofaril Quintana, DPT

• Medical Physician Assistant in Flushing, NY
• Providers in Flushing, NY by specialty
• Medical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.