IndividualActive
Amanda Negron
NPI 1043840358 · Licensed Practical Nurse · Smithtown, NY
Provider details
- NPI number
- 1043840358
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 330242 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Established profile(65/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
17 Bank Ave
Smithtown, NY 11787-2703
Phone: (631) 265-5300
Street-level locationGet directions
Mailing address
122b Rustic Rd
Centereach, NY 11720-4091
Registry dates
- Enumerated
- 2020-01-26
- Last updated
- 2020-01-26
- Certified
- 2020-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.