Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Queens Boulevard ASC LLC

Organization Ambulatory Surgical Clinic/Center · NPI 1558612762

Queens Boulevard ASC LLC is an Ambulatory Surgical Clinic/Center in Rego Park, New York. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9525 Queens Blvd
Rego Park, NY 11374-4510
Phone: (718) 406-8000
Fax: (929) 214-4425
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X

Record details

NPI number1558612762
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Azeem Khan — Owner · (718) 406-8000
NPI enumeratedSeptember 27, 2012
Last updated in NPPESJanuary 12, 2022
Certification dateJanuary 12, 2022
Mailing address95-25 Queens Boulevard, Rego Park, NY 11374-0000