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QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
NPI 1164614590
Clinic/Center - Primary Care in Queens Village, NY

Active since August 09, 2007
9204 SPRINGFIELD BLVD, QUEENS VILLAGE, NY 11428(718) 465-3040(718) 464-9063 Get Directions Write a Review

NPPES record last updated: February 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Queens Village Primary Medical Care, Pllc NPPES

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

QUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC (NPI 1164614590) is a healthcare organization registered as a primary care in Queens Village, New York and active in the NPI registry since August 2007. The organization lists Aryel Nicoleau, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1164614590
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameQUEENS VILLAGE PRIMARY MEDICAL CARE, PLLC
Location Address9204 SPRINGFIELD BLVDQueens Village, NY 11428-1857
Mailing Address9204 Springfield BlvdQueens Village, NY 11428-1857 · (718) 465-3040 · Fax (718) 464-9063
Phone(718) 465-3040
Fax(718) 464-9063
Organization SubpartNo
Authorized OfficialAryel NicoleauMedical Doctor · (718) 465-3040
Enumeration DateAugust 9, 2007
Last NPPES UpdateFebruary 1, 2017
✔ NPI 1164614590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 141741
9204 SPRINGFIELD BLVD, Queens Village, NY 11428
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Other Identifiers 2

Medicare PIN06974NY
Medicaid00587146NY

Other Providers at the Same Location NPPES 3

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

MODERN PODIATRIC CARE P.C
Podiatrist
9204 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11428
Queens County (718) 465-3040
STEPHANIE LAI RDN, CDN
Dietitian, Registered
9204 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11428
Queens County (718) 465-3040
THE TRUE INNER YOU
Social Worker (Clinical)
9204 SPRINGFIELD BLVD
QUEENS VILLAGE, NY 11428
Queens County (888) 387-9827

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 Queens Village Primary Medical Care, PLLC's NPI number?

The NPI number for Queens Village Primary Medical Care, PLLC is 1164614590. It was assigned to this organization in the NPPES registry on August 9, 2007.

Where is Queens Village Primary Medical Care, PLLC located?

Queens Village Primary Medical Care, PLLC is located at 9204 Springfield Blvd, Queens Village, NY 11428. The listed phone number is (718) 465-3040.

What is Queens Village Primary Medical Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Queens Village Primary Medical Care, PLLC was last updated on February 1, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.