214-18 Hillside Ave
NPI 1063858991 · Speech-Language Pathologist · Queens Village, NY
214-18 Hillside Ave is a Speech-Language Pathologist organization in Queens Village, NY (NPI 1063858991).
Provider details
- NPI number
- 1063858991
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Gracemon Kuriakose, Ceo(646) 331-7345
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Social Worker104100000X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-05-19
- Last updated
- 2013-05-19
Frequently asked questions
- What is 214-18 Hillside Ave's NPI number?
- 214-18 Hillside Ave's National Provider Identifier (NPI) is 1063858991, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 214-18 Hillside Ave?
- 214-18 Hillside Ave is classified in the NPPES registry as Speech-Language Pathologist (Speech, Language and Hearing Service Providers).
- Where is 214-18 Hillside Ave located?
- 214-18 Hillside Ave's practice location on file with NPPES is 21418 Hillside Ave, Queens Village, NY 11427-1808.
- What is 214-18 Hillside Ave's phone number?
- The practice phone number listed in the NPPES registry for 214-18 Hillside Ave is (646) 331-7345.
- Who is the authorized official for 214-18 Hillside Ave?
- The authorized official listed on 214-18 Hillside Ave's NPPES record is Gracemon Kuriakose, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 214-18 Hillside Ave's NPI active?
- Yes — 214-18 Hillside Ave's NPI (1063858991) is active in the NPPES registry as of the last update on 2013-05-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.