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Bettina Niederer, MD
NPI 1174560684 · Pediatrics Physician · Lake Ronkonkoma, NY
Bettina Niederer, MD is a Pediatrics Physician provider in Lake Ronkonkoma, NY (NPI 1174560684).
Provider details
- NPI number
- 1174560684
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- License
- 136981 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324
Phone: (631) 737-0100
Fax: (631) 417-1117
Street-level locationGet directions
Mailing address
640 Hawkins Ave
Lake Ronkonkoma, NY 11779-2324
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2007-07-08
Frequently asked questions
- What is Bettina Niederer's NPI number?
- Bettina Niederer's National Provider Identifier (NPI) is 1174560684, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Bettina Niederer's specialty?
- Bettina Niederer is listed in the NPPES registry with a primary specialty of Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Bettina Niederer located?
- Bettina Niederer's practice location on file with NPPES is 640 Hawkins Ave, Lake Ronkonkoma, NY 11779-2324.
- What is Bettina Niederer's phone number?
- The practice phone number listed in the NPPES registry for Bettina Niederer is (631) 737-0100.
- Is Bettina Niederer's NPI active?
- Yes — Bettina Niederer's NPI (1174560684) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.