Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

214-18 Hillside Ave

Q: What type of organization is 214-18 Hillside Ave?

214-18 Hillside Ave is registered in NPPES as a Speech-Language Pathologist (its primary provider taxonomy).

Speech-Language Pathologist in Queens Village, NY · enumerated 2013 · authorized official Gracemon Kuriakose, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063858991

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Registry record

Entity type Organization (Type 2)

Legal business name 214-18 Hillside Ave

Practice address 21418 Hillside Ave, Queens Village, NY, 11427

Phone (646) 331-7345

Enumeration date May 19, 2013

Last updated in NPPES May 19, 2013

Taxonomy & classification

101Y00000X Counselor Behavioral Health & Social Service Providers Secondary

103T00000X Psychologist Behavioral Health & Social Service Providers Secondary

104100000X Social Worker Behavioral Health & Social Service Providers Secondary

1041C0700X Clinical Social Worker Behavioral Health & Social Service Providers Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225500000X Respiratory/Developmental/Rehabilitative Specialist/Technologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

227800000X Certified Respiratory Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Primary

Authorized official

Name Gracemon Kuriakose

Title Ceo

Phone (646) 331-7345

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is 214-18 Hillside Ave?

214-18 Hillside Ave is registered in NPPES as a Speech-Language Pathologist (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Ashly Mammen Speech-Language Pathologist · Queens Village, NY NPI 1720131394 Genesis Medical Services Speech-Language Pathologist · Queens Village, NY NPI 1760828537

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-05-19.