Queens Village Primary Medical Care, PLLC
NPI 1164614590 · Primary Care Clinic/Center · Queens Village, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Queens Village Primary Medical Care, PLLC is a Primary Care Clinic/Center organization in Queens Village, NY (NPI 1164614590).
Provider details
- NPI number
- 1164614590
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aryel Nicoleau, Medical Doctor(718) 465-3040
- License
- 141741 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-08-09
- Last updated
- 2017-02-01
Frequently asked questions
- What is Queens Village Primary Medical Care, PLLC's NPI number?
- Queens Village Primary Medical Care, PLLC's National Provider Identifier (NPI) is 1164614590, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Queens Village Primary Medical Care, PLLC?
- Queens Village Primary Medical Care, PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Queens Village Primary Medical Care, PLLC located?
- Queens Village Primary Medical Care, PLLC's practice location on file with NPPES is 9204 Springfield Blvd, Queens Village, NY 11428-1857.
- What is Queens Village Primary Medical Care, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Queens Village Primary Medical Care, PLLC is (718) 465-3040.
- Does Queens Village Primary Medical Care, PLLC accept Medicare?
- Queens Village Primary Medical Care, PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Queens Village Primary Medical Care, PLLC?
- The authorized official listed on Queens Village Primary Medical Care, PLLC's NPPES record is Aryel Nicoleau, Medical Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Queens Village Primary Medical Care, PLLC's NPI active?
- Yes — Queens Village Primary Medical Care, PLLC's NPI (1164614590) is active in the NPPES registry as of the last update on 2017-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.