Active NPI
Pediatrics for Queens & Kings
- Primary Care Clinic/Center
- Jackson Heights, NY
National Provider Identifier
1396955878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- PEDIATRICS FOR QUEENS & KINGS
- Practice address
- 9542 Roosevelt Ave
Jackson Heights, NY 11372-8012 - Phone
- (718) 334-6720
- NPI assigned
- May 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Emilio Villegas, MD
- Title
- Director
- Phone
- (718) 334-6716
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
9542 Roosevelt Ave
Jackson Heights, NY 11372-8012
Mailing address
93-20A Roosevelt Ave
Suite 2a
Jackson Heights, NY 11372-8012
Phone (718) 334-6716
National Provider Directory
National Provider DirectoryLocations
9320A Roosevelt Ave
Ste 2A
Jackson Heights, NY 11372
Phone (718) 334-6793
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Jackson Heights, NY
- NPI 1265522643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1396955878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93-20A ROOSEVELT AVE",
"address_2": "SUITE 2A",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113728012",
"telephone_number": "718-334-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9542 ROOSEVELT AVE",
"city": "JACKSON HEIGHTS",
"state": "NY",
"postal_code": "113728012",
"telephone_number": "718-334-6720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEDIATRICS FOR QUEENS & KINGS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VILLEGAS",
"authorized_official_first_name": "EMILIO",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "718-334-6716",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.