Queens WTC Health Program

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

Organization subpart

Yes

Parent organization

NORTH SHORE LONG ISLAND JEWISHAs reported in NPPES

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

Authorized official

Name

Edith Segovia

Title

Social Worker

Phone

(718) 267-2420

Specialties & licenses 1

Addresses

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.

• Lifespire, Inc.

  • Clinic/Center
  • New York, NY
  • NPI 1497709166
  NPD tax ID
• North Shore-Lij Medical,PC

  • Specialist
  • Great Neck, NY
  • NPI 1740555119
  NPD tax ID
• Northwell Dermatology

  • Dermatology Physician
  • New Hyde Park, NY
  • NPI 1912362260
  NPD tax ID

Locations

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": []
}

• Queens Psychiatric & Medical Care P.C.
• Queens Psychotherapy LCSW Services P.C.
• Queens Rego Medical PC
• Queens Smile Dental P.C.
• Queens Star Medical PLLC
• Queenspharm RX, Corp.
• Queenspharm RX, Corp.
• Quees Consultaion Center, LLC
• Julia Quinones, OTR/L
• Jose Escueta Quiwa, M.D.

• All providers in Rego Park, NY
• Occupational Medicine Clinic/Center in New York

• 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.