QUEENS MEDICAL PAVILION,LLC
NPI 1124384136
Clinic/Center - Multi-Specialty in Forest Hills, NY

Active since April 03, 2012CLIA 33D2104229 · Waiver
6915 AUSTIN ST, FOREST HILLS, NY 11375(718) 263-3500 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Queens Medical Pavilion,llc NPPES

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

QUEENS MEDICAL PAVILION,LLC (NPI 1124384136), doing business as Ny Med, is a healthcare organization registered as a multi-specialty in Forest Hills, New York and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Erica Vazquez, Manager, as its authorized official.

NPPES Registry Identity

NPI1124384136
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameQUEENS MEDICAL PAVILION,LLC
Location Address6915 AUSTIN STForest Hills, NY 11375-4255
Mailing Address69-15 Austin StForest Hills, NY 11375 · (718) 263-3500
Organization SubpartNo
Authorized OfficialErica VazquezManager · (718) 263-3500
Enumeration DateApril 3, 2012
Last NPPES UpdateJanuary 15, 2026
NPPES CertifiedJanuary 15, 2026
NPI 1124384136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
6915 AUSTIN ST, Forest Hills, NY 11375

Other Names 1

Doing Business AsNy Med

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 33D2104229

Queens Medical Pavilion LLC · Forest Hills, NY
Active · expires Mar 26, 2027
CLIA Number33D2104229
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2015
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Michael J. Wiechowski
Laboratory Phone(718) 263-3500
Laboratory LocationQueens Medical Pavilion LLC69-15 Austin Street, Forest Hills, NY 11375
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 18

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

Physical Therapist
6915 AUSTIN ST
FOREST HILLS, NY 11375
Radiology (Diagnostic Radiology)
6915 AUSTIN ST
FOREST HILLS, NY 11375
Chiropractor
6915 AUSTIN ST
FOREST HILLS, NY 11375
Nurse Practitioner
6915 AUSTIN ST
FOREST HILLS, NY 11375
Chiropractor
6915 AUSTIN ST
FOREST HILLS, NY 11375
Physical Therapy Assistant
6915 AUSTIN ST
FOREST HILLS, NY 11375
Massage Therapist
6915 AUSTIN ST
FOREST HILLS, NY 11375
Nuclear Medicine (Nuclear Cardiology)
6915 AUSTIN ST
FOREST HILLS, NY 11375

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 Queens Medical Pavilion,llc's NPI number?

The NPI number for Queens Medical Pavilion,llc is 1124384136. It was assigned to this organization in the NPPES registry on April 3, 2012. The provider is doing business as Ny Med.

Where is Queens Medical Pavilion,llc located?

Queens Medical Pavilion,llc is located at 6915 Austin St, Forest Hills, NY 11375. The listed phone number is (718) 263-3500.

What is Queens Medical Pavilion,llc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Does Queens Medical Pavilion,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2104229) is associated with this NPI, valid through March 26, 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 Queens Medical Pavilion,llc was last updated on January 15, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.