IndividualActive
Jennifer Disla
NPI 1003249020 · Specialist · Corona, NY
Jennifer Disla is a Specialist provider in Corona, NY (NPI 1003249020).
Provider details
- NPI number
- 1003249020
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1191109 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
11172 42nd Ave
Corona, NY 11368-2620
Phone: (718) 458-0571
Street-level locationGet directions
Mailing address
111-72 42nd Avenue
Corona, MT 11368
Registry dates
- Enumerated
- 2013-08-13
- Last updated
- 2013-08-13
Frequently asked questions
- What is Jennifer Disla's NPI number?
- Jennifer Disla's National Provider Identifier (NPI) is 1003249020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Disla's specialty?
- Jennifer Disla is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jennifer Disla located?
- Jennifer Disla's practice location on file with NPPES is 11172 42nd Ave, Corona, NY 11368-2620.
- What is Jennifer Disla's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Disla is (718) 458-0571.
- Is Jennifer Disla's NPI active?
- Yes — Jennifer Disla's NPI (1003249020) is active in the NPPES registry as of the last update on 2013-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.