Queens Boulevard Extended Care Facility
Queens Boulevard Extended Care Facility is a healthcare organization registered as Nursing Facility/Intermediate Care Facility in Woodside, NY, holding Type 2 (organization) NPI 1548253313 since 2005. The authorized official on file is Steven Cohen, Finance Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1548253313 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Queens Boulevard Extended Care Facility |
| Practice address | 6111 QUEENS BLVD, Woodside, NY, 11377 |
| Phone | 7182050287 |
| Fax | 7182051342 |
| Enumeration date | 2005-08-26 |
| Last updated in NPPES | 2020-08-22 |
Authorized official
| Name | Steven Cohen |
|---|---|
| Title | Finance Director |
| Phone | 7182050287 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 313M00000X | Nursing Facility/Intermediate Care Facility | Primary | 7003390N | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01626686 | Medicaid | NY | — |
| 01710672 | Medicaid | NY | — |
| 7003390N | Medicaid | NY | — |
Copy-ready billing details
Provider: Queens Boulevard Extended Care Facility NPI: 1548253313 Taxonomy: 313M00000X (Nursing Facility/Intermediate Care Facility) Address: 6111 QUEENS BLVD, Woodside, NY, 11377
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1558455410 | Health Concepts Inc. | Organization | Point of Service | Woodside, NY |
| 1043555865 | Grace Ivey | Individual | Family Nurse Practitioner | Woodside, NY |
| 1821419623 | Queens Boulevard Extended Care Facility Corp | Organization | Physical Therapist | Woodside, NY |
| 1972926681 | Queens Boulevard Extended Care Facility Management LLC | Organization | Skilled Nursing Facility | Woodside, NY |
| 1376943761 | Queens Blvd Ext Care Facility Management LLC | Organization | Skilled Nursing Facility | Woodside, NY |
| 1285034678 | Queens Blvd Ext Care Facility Management LLC | Organization | Comprehensive Outpatient Rehabilitation Facility (CORF) | Woodside, NY |
| 1407243843 | Hyewon An | Individual | Family Nurse Practitioner | Woodside, NY |
| 1043762800 | Miok Lim-Drakatos | Individual | Family Nurse Practitioner | Woodside, NY |
Verify this record
Cross-check NPI 1548253313 against the authoritative CMS record: view Queens Boulevard Extended Care Facility on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Queens Boulevard Extended Care Facility?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2020-08-22.