Active NPIOrganization

Queenshade LLC

Community/Behavioral Health in Irvington, New Jersey

NPI Number1346864212
Practice location
1200 Clinton Ave Ste 100C1, Irvington, NJ 07111-2070
Fax
—
Last updated
January 12, 2025

Queenshade LLC is a healthcare organization based in Irvington, NJ. Queenshade LLC practices in Irvington, NJ. The NPI Number for Queenshade LLC is 1346864212. The current practice location address for Queenshade LLC is 1200 Clinton Ave Ste 100C1, Irvington, NJ 07111-2070 and can be reached out via phone at 862-576-3281.

Provider Profile Details

NPI Number
1346864212
Provider Name
Queenshade LLC
Provider Entity Type
Organization
Address
1200 Clinton Ave Ste 100C1, Irvington, NJ 07111-2070
Phone Number
862-576-3281
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Mrs. Folashade E Adebiyi, RN · Director · 908-656-4387
Other Names
Queenshade (Other Name)
Provider Enumeration Date
June 5, 2020
Last Update Date
January 12, 2025
Certification Date
January 12, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1200 Clinton Ave Ste 100C1
Irvington, NJ 07111-2070
Zip
07111-2070
Phone Number
862-576-3281
Irvington, NJ 07111Get directions →

Provider Business Mailing Address Details

Address
33 Rich St
Irvington, NJ 07111-2020
City
Irvington
State
NJ
Zip
07111-2020
Phone Number
908-656-4387

License Information

Taxonomy
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Queenshade LLC?

The NPI number of Queenshade LLC is 1346864212. It was assigned on June 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Queenshade LLC?

Queenshade LLC is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Queenshade LLC practice?

The practice location is 1200 Clinton Ave Ste 100C1, Irvington, NJ 07111-2070. The office can be reached at 862-576-3281 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1346864212 directly on the NPPES registry website.

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