QUEENS MEDICAL PAVILION,LLC
NPI 1124384136
Clinic/Center - Multi-Specialty in Forest Hills, NY
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Queens Medical Pavilion,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Queens Medical Pavilion,llc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 8 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (10)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is Queens Medical Pavilion,llc enrolled in Medicare?
Yes. Queens Medical Pavilion,llc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Queens Medical Pavilion,llc?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 7 Medicare specialties reassign their Medicare billing to Queens Medical Pavilion,llc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (4), Emergency Medicine (1) and General Surgery (1). Of these, 3 practice at this address and 8 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Queens Medical Pavilion,llc · NPI 1124384136
Multi-Specialty organization in Forest Hills, New York. Organization record, active in the CMS NPPES registry since April 3, 2012.
## Identity
- **NPI:** 1124384136 (Entity type: Organization)
- **Enumerated:** April 3, 2012
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** NY MED (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Erica Vazquez, MANAGER
## Practice location
- **Address:** 6915 AUSTIN ST, Forest Hills, NY 11375-4255
- **Phone:** (718) 263-3500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 10 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Physical Therapist in Private Practice (4), Emergency Medicine (1), General Surgery (1); 3 practice at this address and 8 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1124384136) · Data from the CMS NPPES public registry.