OrganizationActive
Innoba Aba, Inc
NPI 1679289409 · Early Intervention Provider Agency · Bayside Hills, NY
Provider details
- NPI number
- 1679289409
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Mikyeong Kim, Director(718) 819-8828
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
5402 217th St
Bayside Hills, NY 11364-1429
Phone: (718) 819-8828
Street-level locationGet directions
Mailing address
5143 Bell Blvd
Bayside Hills, NY 11364-1225
Registry dates
- Enumerated
- 2023-01-25
- Last updated
- 2023-01-25
- Certified
- 2023-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.