QUEENS BLVD EXT CARE
NPI 1376943761
Skilled Nursing Facility in Woodside, NY

NPI Status: Active since September 04, 2014

Contact Information

6111 QUEENS BLVD
WOODSIDE, NY
ZIP 11377
Phone: (718) 205-0298

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  • Organization
  • Skilled Nursing Facility

About QUEENS BLVD EXT CARE

This page provides the complete NPI Profile along with additional information for Queens Blvd Ext Care, a provider established in Woodside, New York operating as a Skilled Nursing Facility. The healthcare provider is registered in the NPI registry with number 1376943761 assigned on September 2014. The practitioner's primary taxonomy code is 314000000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's is doing business as Queens Blvd Ext Care. The authorized official of this NPI record is Mr. Joseph Malone (Cfo)

NPI
1376943761
Provider Legal Name
QUEENS BLVD EXT CARE FACILITY MANAGEMENT LLC
Other Organization Name
QUEENS BLVD EXT CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
6111 QUEENS BLVD WOODSIDE, NY 11377
Location Phone
(718) 205-0298
Mailing Address
6111 QUEENS BLVD WOODSIDE, NY 11377
Mailing Phone
(718) 205-0298
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-04-2014
Last Update Date
12-15-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QA0600XAmbulatory Health Care Facilities

Clinic/Center
Adult Day Care

703410N (NY)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JOSEPH MALONE

Authorized Official Title
CFO
Authorized Official Phone
(718) 205-0298

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
2996110MEDICAID (05)NY 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1376943761
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
231461846712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 4 + 6 + 1 + 8 + 4 + 6 + 7 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1376943761 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285034678QUEENS BLVD EXT CARE FACILITY MANAGEMENT LLC
Organization
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0298
1407243843 HYEWON AN
Individual
Nurse Practitioner (Family)6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0288
1396373031 LIANNA JULIE COCCHIOLA
Individual
Occupational Therapist6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0288
1174142681 JACQUELINE BRENETTA STEWART PHYSICAL THERAPIST
Individual
Physical Therapist6111 QUEENS BLVD
WOODSIDE, NY 11377
(901) 482-0194
1548253313QUEENS BOULEVARD EXTENDED CARE FACILITY
Organization
Nursing Facility/Intermediate Care Facility6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0287
1619539996QUEENS BOULEVARD EXTENDED CARE FACILITY DIALYSIS CENTER LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0287
1972926681QUEENS BOULEVARD EXTENDED CARE FACILITY MANAGEMENT LLC
Organization
Skilled Nursing Facility6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0287
1558455410HEALTH CONCEPTS INC.
Organization
Point of Service6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0393
1821419623QUEENS BOULEVARD EXTENDED CARE FACILITY CORP
Organization
Physical Therapist6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0298
1184329369EAST COAST FAMILY HEALTH NP PC
Organization
Nurse Practitioner (Family)6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0287
1043762800MISS MIOK LIM-DRAKATOS
Individual
Nurse Practitioner (Family)6111 QUEENS BLVD
WOODSIDE, NY 11377
(718) 205-0287

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376943761, enumerated in the NPI registry as an "organization" on September 04, 2014

The provider is located at 6111 Queens Blvd Woodside, Ny 11377 and the phone number is (718) 205-0298

This medical organization specializes in Skilled Nursing Facility with taxonomy code 314000000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on September 04, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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