IndividualActive
Jerdene Bachus
NPI 1124756515 · Specialist · Plainview, NY
Jerdene Bachus is a Specialist provider in Plainview, NY (NPI 1124756515).
Provider details
- NPI number
- 1124756515
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(53/100 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
255 Executive Dr
Plainview, NY 11803-1718
Phone: (347) 965-4381
Street-level locationGet directions
Mailing address
13824 232nd St
Laurelton, NY 11413-2837
Registry dates
- Enumerated
- 2022-08-12
- Last updated
- 2022-08-12
- Certified
- 2022-08-12
Frequently asked questions
- What is Jerdene Bachus's NPI number?
- Jerdene Bachus's National Provider Identifier (NPI) is 1124756515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerdene Bachus's specialty?
- Jerdene Bachus is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jerdene Bachus located?
- Jerdene Bachus's practice location on file with NPPES is 255 Executive Dr, Plainview, NY 11803-1718.
- What is Jerdene Bachus's phone number?
- The practice phone number listed in the NPPES registry for Jerdene Bachus is (347) 965-4381.
- Is Jerdene Bachus's NPI active?
- Yes — Jerdene Bachus's NPI (1124756515) is active in the NPPES registry as of the last update on 2022-08-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.