Organization Active NPI

Queenshade LLC

  • Supports Brokerage Agency
  • Irvington, NJ
National Provider Identifier
1902615594
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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)CodeLicenseStatePrimary
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
Queenshade3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.