JADE CLEMONS
NPI 1164308474
Student in an Organized Health Care Education/Training Program in Forest Hills, NY

Active since August 12, 2025
11655 QUEENS BLVD STE 216, FOREST HILLS, NY 11375(212) 804-7659 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jade Clemons NPPES

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

JADE CLEMONS (NPI 1164308474) is an individual student in an organized health care education/training program in Forest Hills, New York and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1164308474
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJADE CLEMONS
Location Address11655 QUEENS BLVD STE 216Forest Hills, NY 11375-6527
Mailing Address11655 Queens Blvd Ste 216Forest Hills, NY 11375-6527 · (212) 804-7659
Sole ProprietorNo
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
NPI 1164308474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
11655 QUEENS BLVD STE 216, Forest Hills, NY 11375

Other Providers at the Same Location NPPES 20

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

Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Student in an Organized Health Care Education/Training Program
11655 QUEENS BLVD STE 216
FOREST HILLS, NY 11375
Behavior Analyst
11655 QUEENS BLVD STE 216
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 Jade Clemons's NPI number?

The NPI number for Jade Clemons is 1164308474. It was assigned to this individual provider in the NPPES registry on August 12, 2025.

Where is Jade Clemons located?

Jade Clemons practices at 11655 Queens Blvd Ste 216, Forest Hills, NY 11375. The listed phone number is (212) 804-7659.

What is Jade Clemons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jade Clemons was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.