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: October 18, 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Leaf Adult & Women's Health Np, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to New Leaf Adult & Women's Health Np, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1265891485
1167 NOSTRAND AVE
Brooklyn, NY 11225
(718) 778-0198
✔ PECOS9.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is New Leaf Adult & Women's Health Np, PLLC enrolled in Medicare?

Yes. New Leaf Adult & Women's Health Np, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Leaf Adult & Women's Health Np, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to New Leaf Adult & Women's Health Np, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.