NPIMap

Organization Active NPI

Queens Health Center

  • Clinic/Center
  • Long Island City, NY
National Provider Identifier
1508224551
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
QUEENS HEALTH CENTER
Practice address
3711 Queens Blvd
Long Island City, NY 11101-1725
Phone
(718) 606-3863
NPI assigned
Feb 5, 2016
Organization subpart
Yes
Parent organization
NEW YORK HOTEL TRADES COUNCIL & HOTEL ASSOCIATION HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Dr. David Jacobson, DMD
Title
Chief Executive Officer
Phone
(212) 586-6400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3711 Queens Blvd
Long Island City, NY 11101-1725

Mailing address

305 W 44TH St
New York, NY 10036-5498
Phone (212) 586-6400

Other identifiers 1

IdentifierTypeStateIssuer
7002184ROtherNYLICENSE NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Midtown Health Center Pharmacy9 organizations share this tax ID, including this one
Part of
Midtown Health Center Pharmacy

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1454630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1508224551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 W 44TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100365498",
            "telephone_number": "212-586-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 QUEENS BLVD",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111011725",
            "telephone_number": "718-606-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW YORK HOTEL TRADES COUNCIL & HOTEL ASSOCIATION HEALTH CENTER",
        "enumeration_date": "2016-02-05",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "212-586-6400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "7002184R",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Island City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.