What is Amanda Detiberus's NPI number?

Amanda Detiberus's National Provider Identifier (NPI) is 1164889598, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Amanda Detiberus's specialty?

Amanda Detiberus is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Amanda Detiberus located?

Amanda Detiberus's practice location on file with NPPES is 538 Broadhollow Rd, Melville, NY 11747-3676.

What is Amanda Detiberus's phone number?

The practice phone number listed in the NPPES registry for Amanda Detiberus is (631) 385-7780.

Is Amanda Detiberus's NPI active?

Yes — Amanda Detiberus's NPI (1164889598) is active in the NPPES registry as of the last update on 2016-01-15.

IndividualActive

Amanda Detiberus

NPI 1164889598 · Specialist · Melville, NY

Amanda Detiberus is a Specialist provider in Melville, NY (NPI 1164889598).

Provider details

NPI number: 1164889598
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: No

Specialties & taxonomies

SpecialistPrimary174400000X
Other Service Providers

Profile Score

Established profile(66/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
10 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

538 Broadhollow Rd

202

Melville, NY 11747-3676

Phone: (631) 385-7780

Street-level locationGet directions

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Mailing address