Active NPI
Queens Lifestyle Changes
- Neurology with Special Qualifications in Child Neurology Physician
- Hollis, NY
National Provider Identifier
1760018063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology with Special Qualifications in Child Neurology Physician
- Legal business name
- QUEENS LIFESTYLE CHANGES
- Doing business as
- Queens Lifestyle Changes
- Practice address
- 19503 Hillside Ave
Hollis, NY 11423-2014 - Phone
- (917) 923-1712
- Fax
- (718) 465-3115
- NPI assigned
- Mar 18, 2020
- 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
- Rajpaul Singh, MD
- Title
- Owner
- Phone
- (917) 923-1712
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | Primary |
Addresses
Primary practice location
19503 Hillside Ave
Hollis, NY 11423-2014
Mailing address
19503 Hillside Ave
Hollis, NY 11423-2014
Phone (917) 923-1712
Other names 1
- Queens Lifestyle Changes
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Hollis, NY
- NPI 1841218799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1584489600000",
"number": "1760018063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19503 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232014",
"telephone_number": "917-923-1712",
"fax_number": "718-465-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19503 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232014",
"telephone_number": "917-923-1712",
"fax_number": "718-465-3115"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENS LIFESTYLE CHANGES",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-18",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A",
"authorized_official_last_name": "SINGH",
"authorized_official_first_name": "RAJPAUL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-923-1712",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084N0402X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Queens Lifestyle Changes",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.