Healthcare Provider Details

I. General information

NPI: 1407727621
Provider Name (Legal Business Name): BIRTH BY QUEENS FOUNDATION INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2025
Last Update Date: 09/12/2025
Certification Date: 09/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17719 120TH AVE
JAMAICA NY
11434-1929
US

IV. Provider business mailing address

17719 120TH AVE
JAMAICA NY
11434-1929
US

V. Phone/Fax

Practice location:
  • Phone: 347-692-0488
  • Fax: 718-691-4946
Mailing address:
  • Phone: 347-692-0488
  • Fax: 718-691-4946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHARLINE OGBENI
Title or Position: OWNER
Credential: MSED, IBCLC, DOULA
Phone: 347-692-0488