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Export Provider Record NPI 1124396874
Community Healthcare Network, Inc.
Organization Subpart: NO
Active
NPI Number1124396874
NPI TypeNPI-2 Organization
SpecialtyClinic/Center, Federally Qualified Health Center (FQHC)
Provider Details
NPI1124396874
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2011-12-09
Last Updated2025-09-12
Authorized OfficialAlan Wengrofsky
VP of Finance/CFO
Phone: 2125452481
Mailing Address44 W 28th Street, 5th Floor
New York, NY 10001-4212
United States
Phone: (212) 545-2409 | Fax: (646) 312-0481
📍 View Map
Primary Practice Address89-44 164th St
Jamaica, NY 11432-6103
United States
Phone: (718) 523-2123 | Fax: (718) 523-5833
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes261QF0400X – Clinic/Center, Federally Qualified Health Center (FQHC)NY7002119R
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About NPI 1124396874

Community Healthcare Network, Inc. is an organization registered in the CMS NPPES NPI Registry with NPI number 1124396874. The primary specialty listed is Clinic/Center, Federally Qualified Health Center (FQHC). The organization is located in Jamaica, NY. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2011-12-09. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1124396874?

NPI 1124396874 belongs to Community Healthcare Network, Inc., a Clinic/Center, Federally Qualified Health Center (FQHC) in Jamaica, NY. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1124396874 active?

The current status of NPI 1124396874 in the NPPES registry is Active. The record was last updated on 2025-09-12.

What specialty is NPI 1124396874?

NPI 1124396874 is classified under the taxonomy Clinic/Center, Federally Qualified Health Center (FQHC). Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1124396874?

You can verify NPI 1124396874 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1124396874?

The primary practice address on file for NPI 1124396874 is 89-44 164th St, Jamaica, NY 11432-6103. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1124396874 issued?

NPI 1124396874 was first issued (enumerated) on 2011-12-09. The NPPES record was last updated on 2025-09-12.

Practice Location Map

Community Healthcare Network, Inc. is located at 89-44 164th St, Jamaica, NY. Use the map below to find directions or verify the practice location.

📍 89-44 164th St, Jamaica, NY 11432-6103  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Community Healthcare Network, Inc.. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1124396874. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Clinic/Center, Federally Qualified Health Center (FQHC)7002119RNY
Data Verified from CMS NPPES Last synced: 2026-06-30 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162