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AIDS CENTER OF QUEENS COUNTY INC. NPI 1629274972


NPI Information

NPI: 1629274972
Provider Name: AIDS CENTER OF QUEENS COUNTY, INC.

Other Name: ACQC

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 33D1047725

Address:
16121 JAMAICA AVE FL 6
JAMAICA, NY
ZIP 11432
Phone: (718) 896-2500
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AIDS CENTER OF QUEENS COUNTY, INC. is a community behavioral health in Jamaica, NY. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. AIDS CENTER OF QUEENS COUNTY, INC. NPI is 1629274972. The provider is registered as an organization entity type.
The provider Other Name Is Acqc.

The provider's business location address is:

16121 JAMAICA AVE FL 6
JAMAICA, NY
ZIP 11432-113
Phone: (718) 896-2500
Fax: (718) 459-6542

The provider's authorized official is Mitchel Eisenberg .
The authorized official title is Associate Executive Director, Admin and has the following contact phone number (718) 896-2500.

The CLIA number assigned to this NPI record is 33D1047725 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/25/2007 and was last updated on 10/19/2021.


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
1251S00000XCommunity/Behavioral Health8219110ANEW YORKYes

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
101225456MEDICAIDNEW YORK
201551555MEDICAIDNEW YORK

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

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.