NPI Code Detail JSON Logo

1689565194 NPI number — QUEENS NEIGHBORHOOD NP IN FAMILY AND WOMENS HEALTH CARE PLLC

NPI Number: 1689565194
Health Care Provider/Practitioner: QUEENS NEIGHBORHOOD NP IN FAMILY AND WOMENS HEALTH CARE PLLC

Information about “1689565194” NPI (QUEENS NEIGHBORHOOD NP IN FAMILY AND WOMENS HEALTH CARE PLLC) exists in 1689565194 in HTML format HTML  |  1689565194 in plain Text format TXT  |  1689565194 in PDF (Portable Document Format) PDF  |  1689565194 in an XML format XML  formats.

NPI Number : 1689565194 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1689565194",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "QUEENS NEIGHBORHOOD NP IN FAMILY AND WOMENS HEALTH CARE PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3022 MERRICK RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WANTAGH",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11793-4320",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3022 MERRICK RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WANTAGH",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11793-4320",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-867-2695",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/12/2025",
    "LastUpdateDate": "07/12/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MARIE",
    "AuthorizedOfficialFirstName": "JEAN",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "EMPLOYEE",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "631-867-2695",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LW0102X",
          "TaxonomyName": "Women's Health Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP2300X",
          "TaxonomyName": "Primary Care Nurse Practitioner",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": [
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        },
        {
          "HealthcareProviderTaxonomyGroupName": "193200000X MULTI-SPECIALTY GROUP",
          "HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
        }
      ]
    }
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.