Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
QUEENSHADE LLC
Active OrganizationQUEENSHADE LLC is a Supports Brokerage Agency organization located in IRVINGTON, New Jersey. NPI 1902615594 is currently active in the NPPES registry. Verify at CMS.
Supports Brokerage Agency · IRVINGTON, NJ
Registration Details
- NPI Number
- 1902615594
- Provider Type
- Organization
- NPI Issued
- Jan 7, 2025 (1.6121484416261 yrs)
- Last Updated
- Dec 10, 2025
Practice Information
- Address
-
1200 CLINTON AVE STE 100CIRVINGTON, NJ, 071112070Browse NJ providers · Browse ZIP 07111
- Phone
- 8625763281
- Primary Specialty
-
Supports Brokerage Agency
251X00000X
- Additional Specialty
- Community/Behavioral Health
- Additional Specialty
- Supports Brokerage Agency
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.