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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

THE VINE NP FAMILY HEALTH, PLLC
NPI 1154078335
Nurse Practitioner - Family in Queens Village, NY

Active since March 07, 2022CLIA 33D2253947 · Waiver
11358 212TH ST, QUEENS VILLAGE, NY 11429(718) 954-3553(877) 762-6647 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 13, 2026, May 21, 2026, Sep 15, 2025 and 6 more (9 updates tracked since 2022).

About The Vine Np Family Health, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE VINE NP FAMILY HEALTH, PLLC (NPI 1154078335) is a healthcare organization registered as a family in Queens Village, New York and active in the NPI registry since March 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains a secondary practice location in Hempstead, and lists Kelly Hilaire, Owner, as its authorized official.

NPPES Registry Identity

NPI1154078335
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTHE VINE NP FAMILY HEALTH, PLLC
Location Address11358 212TH STQueens Village, NY 11429-2312
Mailing Address11944 218th StCambria Heights, NY 11411-1911 · (718) 954-3553 · Fax (877) 762-6647
Phone(718) 954-3553
Fax(877) 762-6647
Organization SubpartNo
Authorized OfficialKelly HilaireOwner · (718) 233-9122
Enumeration DateMarch 7, 2022
Last NPPES UpdateAugust 13, 20269 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1154078335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
11358 212TH ST, Queens Village, NY 11429
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Secondary Practice Location 1

Location 1230 Hilton Ave Ste 105Hempstead, NY 11550-8116 · Phone (718) 954-3553 · Fax (877) 762-6647

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2253947

The Vine Np Family Health PLLC · Cambria Heights, NY
Active · expires Mar 26, 2027
CLIA Number33D2253947
Laboratory TypeMobile Laboratory
Certificate Effective DateFebruary 25, 2022
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Kelly Hilaire
Laboratory Phone(718) 552-0216
Laboratory LocationThe Vine Np Family Health PLLC119-44 218th St, Cambria Heights, NY 11411
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KELLY HILAIRE FNP
Nurse Practitioner (Family)
11358 212TH ST
QUEENS VILLAGE, NY 11429
Queens County (718) 954-3553
YDENS JEAN VALEUS MD
Internal Medicine
11358 212TH ST
QUEENS VILLAGE, NY 11429
Queens County (475) 329-9504
MARLIE HILAIRE FNP
Nurse Practitioner (Family)
11358 212TH ST
QUEENS VILLAGE, NY 11429
Queens County (718) 954-3553
VALEUS MEDICAL GROUP
Internal Medicine
11358 212TH ST
QUEENS VILLAGE, NY 11429
Queens County (475) 329-9504

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Vine Np Family Health, PLLC's NPI number?

The NPI number for The Vine Np Family Health, PLLC is 1154078335. It was assigned to this organization in the NPPES registry on March 7, 2022.

Where is The Vine Np Family Health, PLLC located?

The Vine Np Family Health, PLLC is located at 11358 212th St, Queens Village, NY 11429. The listed phone number is (718) 954-3553.

What is The Vine Np Family Health, PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does The Vine Np Family Health, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2253947) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Vine Np Family Health, PLLC was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.