Active NPI
Queenshade LLC
- Supports Brokerage Agency
- Irvington, NJ
National Provider Identifier
1902615594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Supports Brokerage Agency
- Legal business name
- QUEENSHADE LLC
- Practice address
- 1200 Clinton Ave Ste 100C
Irvington, NJ 07111-2070 - Phone
- (862) 576-3281
- NPI assigned
- Jan 7, 2025
- Last updated
- Dec 10, 2025
- 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
- Folashade Esther Adebiyi
- Title
- Director
- Phone
- (862) 576-3281
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Supports Brokerage Agency | 251X00000X | Primary |
Addresses
Primary practice location
1200 Clinton Ave Ste 100C
Irvington, NJ 07111-2070
Mailing address
33 Rich St
Irvington, NJ 07111-2020
Phone (862) 576-3281
National Provider Directory
National Provider Directory- Tax ID family
- Queenshade
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Irvington, NJ
- NPI 1346864212
-
- Registered Nurse
- Newark, NJ
- NPI 1558834069
Locations
1200 Clinton Ave
Ste 100C
Irvington, NJ 07111
Phone (862) 576-3281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736208000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1765324800000",
"number": "1902615594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 RICH ST",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112020",
"telephone_number": "862-576-3281"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 CLINTON AVE STE 100C",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071112070",
"telephone_number": "862-576-3281"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENSHADE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-07",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A",
"authorized_official_last_name": "ADEBIYI",
"authorized_official_first_name": "FOLASHADE",
"authorized_official_middle_name": "ESTHER",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "862-576-3281"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251X00000X",
"taxonomy_group": "",
"desc": "Supports Brokerage",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.