PEDIATRICS SPECIALTIES OF QUEENS
NPI 1104031137
Clinic/Center - Primary Care in Elmhurst, NY

Active since May 12, 2007CLIA 33D1101316 · Waiver
5917 JUNCTION BLVD, ELMHURST, NY 11373(718) 334-6299 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Pediatrics Specialties Of Queens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEDIATRICS SPECIALTIES OF QUEENS (NPI 1104031137) is a healthcare organization registered as a primary care in Elmhurst, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 24, 2027 and lists Victor Peralta, President, as its authorized official.

NPPES Registry Identity

NPI1104031137
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NamePEDIATRICS SPECIALTIES OF QUEENS
Location Address5917 JUNCTION BLVDElmhurst, NY 11373-5108
Mailing Address5917 Junction BlvdElmhurst, NY 11373-5108
Organization SubpartNo
Authorized OfficialVictor PeraltaPresident · (718) 334-6299
Enumeration DateMay 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1104031137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
5917 JUNCTION BLVD, Elmhurst, NY 11373

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1101316

Pediatric Specialties Of Queens · Corona, NY
Active · expires Jun 24, 2027
CLIA Number33D1101316
Laboratory TypePhysician Office
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorYuderqui Checo
Laboratory Phone(718) 334-6299
Laboratory LocationPediatric Specialties Of Queens59-17 Junction Blvd, Corona, NY 11368
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy (Community/Retail Pharmacy)
5917 JUNCTION BLVD
ELMHURST, NY 11373
Pharmacist
5917 JUNCTION BLVD
ELMHURST, NY 11373
Nurse Practitioner (Pediatrics)
5917 JUNCTION BLVD
ELMHURST, NY 11373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pediatrics Specialties Of Queens's NPI number?

The NPI number for Pediatrics Specialties Of Queens is 1104031137. It was assigned to this organization in the NPPES registry on May 12, 2007.

Where is Pediatrics Specialties Of Queens located?

Pediatrics Specialties Of Queens is located at 5917 Junction Blvd, Elmhurst, NY 11373. The listed phone number is (718) 334-6299.

What is Pediatrics Specialties Of Queens's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Pediatrics Specialties Of Queens hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1101316) is associated with this NPI, valid through June 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pediatrics Specialties Of Queens was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.