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QUEENS BLVD EXT CARE
NPI 1285034678
Clinic/Center - Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) in Woodside, NY

Active since September 04, 2014
6111 QUEENS BLVD, WOODSIDE, NY 11377(718) 205-0298 Get Directions Write a Review

NPPES record last updated: September 4, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Queens Blvd Ext Care NPPES

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

QUEENS BLVD EXT CARE (NPI 1285034678) is a healthcare organization registered as a rehabilitation, comprehensive outpatient rehabilitation facility (corf) in Woodside, New York and active in the NPI registry since September 2014. The organization lists Joseph Malone, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285034678
Entity TypeOrganization
Primary Taxonomy261QR0401X
Legal Business NameQUEENS BLVD EXT CARE FACILITY MANAGEMENT LLC
Location Address6111 QUEENS BLVDWoodside, NY 11377-4965
Mailing Address6111 Queens BlvdWoodside, NY 11377-4965 · (718) 205-0298
Phone(718) 205-0298
Organization SubpartNo
Authorized OfficialJoseph MaloneCfo · (718) 205-0298
Enumeration DateSeptember 4, 2014
✔ NPI 1285034678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)Ambulatory Health Care Facilities
Taxonomy Code261QR0401X
License✔ Licensed in NY · 703410N
6111 QUEENS BLVD, Woodside, NY 11377
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Other Names 1

Doing Business AsQueens Blvd Ext Care

Other Identifiers 2

Medicare PIN335791NY
Medicaid2996110NY

Other Providers at the Same Location NPPES 13

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

MRS. GRACE IVEY NP, RN
Nurse Practitioner (Family)
6111 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 205-0287
MISS MIOK LIM-DRAKATOS
Nurse Practitioner (Family)
6111 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 205-0287
KYLE PATRICK MAQUILING
Physical Therapy Assistant
6111 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (347) 855-9410
JACQUELINE BRENETTA STEWART PHYSICAL THERAPIST
Physical Therapist
6111 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (901) 482-0194
EAST COAST FAMILY HEALTH NP PC
Nurse Practitioner (Family)
6111 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 205-0287
QUEENS BLVD EXT CARE FACILITY MANAGEMENT LLC
Skilled Nursing Facility
6111 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 205-0298
LIANNA JULIE COCCHIOLA
Occupational Therapist
6111 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 205-0288
HYEWON AN
Nurse Practitioner (Family)
6111 QUEENS BLVD
WOODSIDE, NY 11377
Queens County (718) 205-0288

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 Blvd Ext Care Facility Management LLC's NPI number?

The NPI number for Queens Blvd Ext Care Facility Management LLC is 1285034678. It was assigned to this organization in the NPPES registry on September 4, 2014. The provider is doing business as Queens Blvd Ext Care.

Where is Queens Blvd Ext Care Facility Management LLC located?

Queens Blvd Ext Care Facility Management LLC is located at 6111 Queens Blvd, Woodside, NY 11377. The listed phone number is (718) 205-0298.

What is Queens Blvd Ext Care Facility Management LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF), with taxonomy code 261QR0401X.

When was this NPI record last updated?

The NPPES record for Queens Blvd Ext Care Facility Management LLC was last updated on September 4, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.