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NEW LEAF ADULT & WOMEN'S HEALTH NP, PLLC
NPI 1619563566
Nurse Practitioner - Adult Health in Staten Island, NY

Active since December 15, 2020
941 FOREST AVE, STATEN ISLAND, NY 10310(718) 569-7486 Get Directions Write a Review

NPPES record last updated: December 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About New Leaf Adult & Women's Health Np, Pllc NPPES

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

NEW LEAF ADULT & WOMEN'S HEALTH NP, PLLC (NPI 1619563566) is a healthcare organization registered as an adult health in Staten Island, New York and active in the NPI registry since December 2020. The organization lists Enjoli Mcqueen King, Provider, as its authorized official.

NPPES Registry Identity

NPI1619563566
Entity TypeOrganization
Primary Taxonomy363LA2200X
Legal Business NameNEW LEAF ADULT & WOMEN'S HEALTH NP, PLLC
Location Address941 FOREST AVEStaten Island, NY 10310-2412
Mailing Address941 Forest AveStaten Island, NY 10310-2412
Phone(718) 569-7486
Organization SubpartNo
Authorized OfficialEnjoli Mcqueen KingProvider · (718) 569-7486
Enumeration DateDecember 15, 2020
NPPES CertifiedDecember 15, 2020
✔ NPI 1619563566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Also ListedNurse Practitioner · Women's HealthTaxonomy 363LW0102X
941 FOREST AVE, Staten Island, NY 10310
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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 for Provider-Performed Microscopy Procedures (PPMP) 33D2246648

New Leaf Adult & Womens Health Np PLLC · Staten Island, NY
Expired · Dec 27, 2025
CLIA Number33D2246648
Laboratory TypePhysician Office
Certificate Effective DateDecember 28, 2023
Certificate Expiration DateDecember 27, 2025
Laboratory DirectorEnjoli D. Mcqueen King
Laboratory Phone(718) 569-7486
Laboratory LocationNew Leaf Adult & Womens Health Np PLLC941 Forest Ave, Staten Island, NY 10301
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

ANNA R TESKE LMFT
Marriage & Family Therapist
941 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (646) 535-9572
CARDINAL CARE MARRIAGE AND FAMILY THERAPY, P.C.
Marriage & Family Therapist
941 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (646) 535-9572
PROBLEMS TO SOLVE LCSW
Counselor (Mental Health)
941 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (347) 392-1331
UNITED FRIENDS UNLIMITED
Social Worker (Clinical)
941 FOREST AVE
STATEN ISLAND, NY 10310
Richmond County (917) 805-3596

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 New Leaf Adult & Women's Health Np, PLLC's NPI number?

The NPI number for New Leaf Adult & Women's Health Np, PLLC is 1619563566. It was assigned to this organization in the NPPES registry on December 15, 2020.

Where is New Leaf Adult & Women's Health Np, PLLC located?

New Leaf Adult & Women's Health Np, PLLC is located at 941 Forest Ave, Staten Island, NY 10310. The listed phone number is (718) 569-7486.

What is New Leaf Adult & Women's Health Np, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for New Leaf Adult & Women's Health Np, PLLC was last updated on December 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.