QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1184138091
Surgery - Vascular Surgery in Forest Hills, NY

Q: What is Queens Professional Medical Services Of New York LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Active since November 30, 2017CLIA 33D2157754 · Waiver

11602 QUEENS BLVD LOWR LEVEL, FOREST HILLS, NY 11375(718) 301-1100(224) 235-4652 Get Directions Write a Review

NPPES record last updated: November 30, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Queens Professional Medical Services Of New York Llc NPPES

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

QUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI 1184138091) is a healthcare organization registered as a vascular surgery in Forest Hills, New York and active in the NPI registry since November 2017. The organization holds a CLIA Waiver certificate valid through November 12, 2026 and lists Ami Almeda, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1184138091

Entity TypeOrganization

Primary Taxonomy2086S0129X

Legal Business NameQUEENS PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC

Location Address11602 QUEENS BLVD LOWR LEVELForest Hills, NY 11375-7055

Mailing AddressPo Box 32Northbrook, IL 60065-0032 · (718) 301-1100 · Fax (224) 235-4652

Phone(718) 301-1100

Fax(224) 235-4652

Organization SubpartNo

Authorized OfficialAmi AlmedaCredentialing Manager · (847) 593-8460

Enumeration DateNovember 30, 2017

✔ NPI 1184138091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

11602 QUEENS BLVD LOWR LEVEL, Forest Hills, NY 11375

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 33D2157754

Queens Professional Medical Services Of New York LLC · Forest Hills, NY

Active · expires Nov 12, 2026

CLIA Number33D2157754

Laboratory TypePhysician Office

Certificate Effective DateNovember 13, 2024

Certificate Expiration DateNovember 12, 2026

Laboratory DirectorMs. Patricia M. Clarke

Laboratory Phone(718) 301-1100

Laboratory LocationQueens Professional Medical Services Of New York LLC116-02 Queens Blvd, Forest Hills, NY 11375

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Professional Medical Services Of New York LLC's NPI number?

The NPI number for Queens Professional Medical Services Of New York LLC is 1184138091. It was assigned to this organization in the NPPES registry on November 30, 2017.

Where is Queens Professional Medical Services Of New York LLC located?

Queens Professional Medical Services Of New York LLC is located at 11602 Queens Blvd Lowr Level, Forest Hills, NY 11375. The listed phone number is (718) 301-1100.

What is Queens Professional Medical Services Of New York LLC's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Does Queens Professional Medical Services Of New York LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2157754) is associated with this NPI, valid through November 12, 2026. 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 Professional Medical Services Of New York LLC was last updated on November 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.