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ENJOLI MCQUEEN KING CRNP NPI 1265891485


NPI Information

NPI: 1265891485
Provider Name: ENJOLI MCQUEEN KING, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
1167 NOSTRAND AVE
BROOKLYN, NY
ZIP 11225
Phone: (718) 778-0198
Get Directions

Enjoli Mcqueen King, CRNP is an adult health nurse practitioner in Brooklyn, NY. Enjoli Mcqueen King, CRNP NPI is 1265891485. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1167 NOSTRAND AVE
BROOKLYN, NY
ZIP 11225-417
Phone: (718) 778-0198
Fax: (718) 221-8169

The NPI 1265891485 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/16/2016 and was last updated on 12/20/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthF308023-1NEW YORKYes
2363LG0600XNurse PractitionerGerontology1-134290ALABAMANo
3363LW0102XNurse PractitionerWomen's HealthF421268-1NEW YORKNo
4363LW0102XNurse PractitionerWomen's Health1-134290ALABAMANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1331957MEDICARE OSCAR/CERTIFICATIONWISCONSIN
2G100000410MEDICARE OSCAR/CERTIFICATIONNEW YORK
300695941MEDICAIDNEW YORK
4331954MEDICARE OSCAR/CERTIFICATIONWISCONSIN
5331978MEDICARE OSCAR/CERTIFICATIONNEW YORK
6331952MEDICARE OSCAR/CERTIFICATIONWISCONSIN
7331058MEDICARE OSCAR/CERTIFICATIONWISCONSIN
8331945MEDICARE OSCAR/CERTIFICATIONWISCONSIN
9331043MEDICARE OSCAR/CERTIFICATIONWISCONSIN
10331946MEDICARE OSCAR/CERTIFICATIONWISCONSIN
11331947MEDICARE OSCAR/CERTIFICATIONWISCONSIN
12331943MEDICARE OSCAR/CERTIFICATIONWISCONSIN
13331009MEDICARE OSCAR/CERTIFICATIONWISCONSIN
14W6L111MEDICARE OSCAR/CERTIFICATIONNEW YORK
15331944MEDICARE OSCAR/CERTIFICATIONWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024
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All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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