IndividualActive
Iman Boucetta, MS ED
NPI 1073854683 · Specialist · Valley Stream, NY
Iman Boucetta, MS ED is a Specialist provider in Valley Stream, NY (NPI 1073854683).
Provider details
- NPI number
- 1073854683
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MS ED
- Sex
- Female
- Sole proprietor
- No
- License
- 701717131 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
70 Gibson Blvd Apt 2b
Valley Stream, NY 11581-2005
Phone: (516) 561-3914
Street-level locationGet directions
Mailing address
70 Gibson Blvd Apt 2b
Valley Stream, NY 11581-2005
Registry dates
- Enumerated
- 2013-03-06
- Last updated
- 2013-03-06
Frequently asked questions
- What is Iman Boucetta's NPI number?
- Iman Boucetta's National Provider Identifier (NPI) is 1073854683, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Iman Boucetta's specialty?
- Iman Boucetta is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Iman Boucetta located?
- Iman Boucetta's practice location on file with NPPES is 70 Gibson Blvd Apt 2b, Valley Stream, NY 11581-2005.
- What is Iman Boucetta's phone number?
- The practice phone number listed in the NPPES registry for Iman Boucetta is (516) 561-3914.
- Is Iman Boucetta's NPI active?
- Yes — Iman Boucetta's NPI (1073854683) is active in the NPPES registry as of the last update on 2013-03-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.