NEW LEAF ADULT & WOMEN'S HEALTH NP, PLLC
NPI 1619563566
Nurse Practitioner - Adult Health in Staten Island, NY
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 holds a CLIA Microscopy certificate valid through December 27, 2027 and lists Enjoli Mcqueen King, Provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
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)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Does New Leaf Adult & Women's Health Np, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2246648) is associated with this NPI, valid through December 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
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.
# New Leaf Adult & Women's Health Np, Pllc · NPI 1619563566
Adult Health organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since December 15, 2020.
## Identity
- **NPI:** 1619563566 (Entity type: Organization)
- **Enumerated:** December 15, 2020
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **Organization subpart:** No
- **Authorized official:** Enjoli Mcqueen King, PROVIDER
## Practice location
- **Address:** 941 FOREST AVE, Staten Island, NY 10310-2412
- **Phone:** (718) 569-7486
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619563566) · Data from the CMS NPPES public registry.