Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
QUEENS NEPHROLOGY CARE PC
Active
Organization
QUEENS NEPHROLOGY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LJUBISA MICIC (DIRECTOR OFFICER)
(718) 261-8563
Entity
Organization
Contact information
Practice address
10833 70TH RD, FOREST HILLS, NY 11375-3931
(718) 261-8563
Mailing address
10833 70TH RD, FOREST HILLS, NY 11375-3931
(718) 261-8563
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
212787
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01894586
—
NY
Enumeration date
11/14/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up