QUEENS LIFESTYLE CHANGES (NPI# 1760018063) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760018063 |
| Entity Type | Organization |
| Organization Name | QUEENS LIFESTYLE CHANGES |
| Practice Address |
19503 Hillside Ave Hollis NY 11423-2014 |
| Practice Telephone | 9179231712 |
| Practice Fax Number | 7184653115 |
| Mailing Telephone | 9179231712 |
| Mailing Fax Number | 7184653115 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | RAJPAUL SINGH (OWNER) |
| Authorized Official Telephone | 9179231712 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Queens Lifestyle Changes | Doing Business As Name - Organization |
| Street Address |
19503 HILLSIDE AVE |
| City | HOLLIS |
| State | NY |
| Zip Code | 11423-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841218799 | Rajpaul Singh | Psychiatry & Neurology | 19503 Hillside Ave, Hollis, NY 11423-2014 | 2006-07-18 |
| 1356631550 | Babita Hanoman | Physician Assistant | 19503 Hillside Ave, Hollis, NY 11423-2014 | 2011-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112668 | Mandip Kaur | Student in an Organized Health Care Education/Training Program | 89 - 06 - 188 Street, First Floor, Hollis, NY 11423 | 2019-12-23 |
| 1437633690 | Lisa Martins-mueller | Speech-Language Pathologist | 90-11 191 St Avenue, Nyc School District 29 Superintendents Office, Hollis, NY 11423 | 2018-09-23 |
| 1114407491 | Moamen Mohamed Hassanen | Physical Therapist | 204-12 Hillside Ave, Hollis, NY 11423 | 2018-08-16 |
| 1114403730 | Favour Osemwota | Licensed Practical Nurse | 10036 203rd St, Hollis, NY 11423 | 2018-07-17 |
| 1417448234 | Hollis Primary Care P.C. | Internal Medicine | 196 22 Hillside Ave, Hollis, NY 11423 | 2018-05-29 |
| 1801309984 | Roh Physical Therapy P.C. | Clinic/Center | 205-16 Jamaica Ave, Hollis, NY 11423 | 2017-11-10 |
| 1780113167 | Lissamma George | Registered Nurse | 88 45 199 Street, Queens, NY 11423 | 2017-06-08 |
| 1881121499 | Calvin Wu | Case Manager/Care Coordinator | 8762 188th Street, Hollis, NY 11423 | 2017-05-12 |
| 1932635182 | Lauren Irene Sutherland | Licensed Practical Nurse | 10216 Farmers Blvd, Hollis, NY 11423 | 2017-05-10 |
| 1023541190 | Gwyneth Julien-squire | Licensed Practical Nurse | 190-25 Woodhull Apt. 3h, Hollis, NY 11423 | 2017-04-06 |
| Find all providers in zip 11423 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841218799 | Rajpaul Singh | Psychiatry & Neurology | 19503 Hillside Ave, Hollis, NY 11423-2014 | 2006-07-18 |
| 1689976151 | Hillside Optimal Medical Care | Psychiatry & Neurology | 19620 Hillside Ave, Hollis, NY 11423-2101 | 2010-12-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665971 | Kristen Barbour | Psychiatry & Neurology | 505 E 70th St # 611, New York, NY 10021-4872 | 2018-04-04 |
| 1164940490 | Kashyar Khodabakhsh M.d.p.c. | Psychiatry & Neurology | 260 Middle Neck Rd Apt 1e, Great Neck, NY 11021-1159 | 2017-09-07 |
| 1629452685 | Inge Anita Meijer | Psychiatry & Neurology | 10 Union Sq E Fl 5, Suite 5k, New York, NY 10003-3314 | 2015-07-18 |
| 1457770620 | Rolla Nuoman | Psychiatry & Neurology | 755 N Broadway Ste 540, Sleepy Hollow, NY 10591 | 2014-04-15 |
| 1689093445 | Evelyn Olga Berman | Psychiatry & Neurology | 200 East River Rd, Rochester, NY 14623 | 2014-04-09 |
| 1760809719 | Danielle Brigham | Psychiatry & Neurology | 710 W 168th St Fl 7, New York, NY 10032-3726 | 2014-03-27 |
| 1861767931 | Pascal Saremsky | Psychiatry & Neurology | 2965 Long Beach Rd Ste 200, Oceanside, NY 11572-3255 | 2012-03-21 |
| 1316246978 | Leslie Diane Delfiner | Psychiatry & Neurology | 3415 Bainbridge Ave Fl 4, Bronx, NY 10467-2403 | 2011-03-22 |
| 1104132778 | Prokhorov's Pediatrics and Child Neurology PC | Psychiatry & Neurology | 9817 Queens Blvd, Ll2, Rego Park, NY 11374-3336 | 2010-08-20 |
| 1457679706 | Vijay Vishwanath | Psychiatry & Neurology | 391 Myrtle Ave Ste 1a, Albany, NY 12208-3797 | 2010-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.