OrganizationActive
Innoba, LLC
NPI 1639561350 · Community/Behavioral Health Agency · Bayside Hills, NY
Innoba, LLC is a Community/Behavioral Health Agency organization in Bayside Hills, NY (NPI 1639561350).
Provider details
- NPI number
- 1639561350
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mikyeong Kim, Director(718) 640-6550
- License
- 000632 (NY)
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
5143 Bell Blvd
Bayside Hills, NY 11364-1225
Phone: (718) 640-6550
Street-level locationGet directions
Mailing address
5143 Bell Blvd
Bayside Hills, NY 11364-1225
Registry dates
- Enumerated
- 2015-03-04
- Last updated
- 2015-03-04
Frequently asked questions
- What is Innoba, LLC's NPI number?
- Innoba, LLC's National Provider Identifier (NPI) is 1639561350, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innoba, LLC?
- Innoba, LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Innoba, LLC located?
- Innoba, LLC's practice location on file with NPPES is 5143 Bell Blvd, Bayside Hills, NY 11364-1225.
- What is Innoba, LLC's phone number?
- The practice phone number listed in the NPPES registry for Innoba, LLC is (718) 640-6550.
- Who is the authorized official for Innoba, LLC?
- The authorized official listed on Innoba, LLC's NPPES record is Mikyeong Kim, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innoba, LLC's NPI active?
- Yes — Innoba, LLC's NPI (1639561350) is active in the NPPES registry as of the last update on 2015-03-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.