NPIMap

Organization Active NPI

Queens WTC Health Program

  • Occupational Medicine Clinic/Center
  • Rego Park, NY
National Provider Identifier
1962844050
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
081917 Issued in NY
Legal business name
QUEENS WTC HEALTH PROGRAM
Practice address
9777 Queens Blvd FL 9
Rego Park, NY 11374-3335
Phone
(718) 267-2420
NPI assigned
Jul 18, 2013
Last updated
Jul 18, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH SHORE LONG ISLAND JEWISHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Edith SegoviaNPI 1588761969
Title
Social Worker
Phone
(718) 267-2420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X 081917 NY Primary

Addresses

Primary practice location

9777 Queens Blvd FL 9
Rego Park, NY 11374-3335

Mailing address

9777 Queens Blvd FL 9
Rego Park, NY 11374-3335

National Provider Directory

National Provider Directory
Tax ID family
North Shore-Lij Medical PC4 organizations share this tax ID, including this one
Part of
North Shore-Lij Medical PC

Other organizations with this tax ID 3

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

Locations

9777 Queens Blvd
Fl 9
Rego Park, NY 11374
Phone (212) 695-5122

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1962844050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD FL 9",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9777 QUEENS BLVD FL 9",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743335",
            "telephone_number": "718-267-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS WTC HEALTH PROGRAM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH SHORE LONG ISLAND JEWISH",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "SEGOVIA",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "718-267-2420"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NY",
            "license": "081917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.