IndividualActive
Jon Hendricks, PEER SPECIALIST
NPI 1184334815 · Prevention Professional · Wheatley Heights, NY
Provider details
- NPI number
- 1184334815
- Entity type
- Individual
- Primary specialty
- Prevention ProfessionalOther Service Providers
- Credential
- PEER SPECIALIST
- Sex
- Male
- Sole proprietor
- No
- License
- 780097 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(59/100 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
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
45 Andrews Ave
Wheatley Heights, NY 11798-2333
Phone: (516) 229-1706
Street-level locationGet directions
Mailing address
45 Andrews Ave
Wheatley Heights, NY 11798-2333
Registry dates
- Enumerated
- 2022-12-05
- Last updated
- 2022-12-05
- Certified
- 2022-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.