IndividualActive
Joan Nicotra
NPI 1003513896 · Specialist · Port Jefferson Station, NY
Joan Nicotra is a Specialist provider in Port Jefferson Station, NY (NPI 1003513896).
Provider details
- NPI number
- 1003513896
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(52/100 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
83% 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
299 Hallock Ave
Port Jefferson Station, NY 11776-1217
Phone: (631) 473-4284
Street-level locationGet directions
Mailing address
4 Kimberley Ct
Lake Grove, NY 11755-2753
Registry dates
- Enumerated
- 2023-02-13
- Last updated
- 2023-02-13
- Certified
- 2023-02-11
Frequently asked questions
- What is Joan Nicotra's NPI number?
- Joan Nicotra's National Provider Identifier (NPI) is 1003513896, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Joan Nicotra's specialty?
- Joan Nicotra is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Joan Nicotra located?
- Joan Nicotra's practice location on file with NPPES is 299 Hallock Ave, Port Jefferson Station, NY 11776-1217.
- What is Joan Nicotra's phone number?
- The practice phone number listed in the NPPES registry for Joan Nicotra is (631) 473-4284.
- Is Joan Nicotra's NPI active?
- Yes — Joan Nicotra's NPI (1003513896) is active in the NPPES registry as of the last update on 2023-02-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.