NPIMap

Organization Active NPI

Women'S Health & Wellness of Queens, PLLC

  • Specialist
  • Little Neck, NY
National Provider Identifier
1407928138
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WOMEN'S HEALTH & WELLNESS OF QUEENS, PLLC
Practice address
5515 Little Neck Pkwy
Suite L15
Little Neck, NY 11362-2244
Phone
(718) 281-1800
Fax
(718) 281-1802
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Evan Bruce Shapiro, M.D.NPI 1164420493
Title
President
Phone
(718) 281-1800

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5515 Little Neck Pkwy
Suite L15
Little Neck, NY 11362-2244

Mailing address

5515 Little Neck Pkwy
Suite L15
Little Neck, NY 11362-2244
Phone (718) 281-1800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091021000187 NY Part B Supplier - Clinic/Group Practice 1052202165 Receives reassigned benefits from 4 practitioners
Practice locations: New Hyde Park, NY; Woodbury, NY

National Provider Directory

National Provider Directory

Locations

5515 Little Neck Pkwy
Ste L15
Little Neck, NY 11362
Phone (718) 281-1800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407928138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5515 LITTLE NECK PKWY",
            "address_2": "SUITE L15",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622244",
            "telephone_number": "718-281-1800",
            "fax_number": "718-281-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5515 LITTLE NECK PKWY",
            "address_2": "SUITE L15",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622244",
            "telephone_number": "718-281-1800",
            "fax_number": "718-281-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMEN'S HEALTH & WELLNESS OF QUEENS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHAPIRO",
        "authorized_official_first_name": "EVAN",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-281-1800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, 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.
  • 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.