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Theo Nnebe
NPI 1205172152 · Specialist · Hollis, NY
Theo Nnebe is a Specialist provider in Hollis, NY (NPI 1205172152).
Provider details
- NPI number
- 1205172152
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 777420 (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
20541 100th Ave
Hollis, NY 11423-3438
Phone: (917) 913-1247
Street-level locationGet directions
Mailing address
20541 100th Ave
Hollis, NY 11423-3438
Registry dates
- Enumerated
- 2012-12-21
- Last updated
- 2012-12-21
Frequently asked questions
- What is Theo Nnebe's NPI number?
- Theo Nnebe's National Provider Identifier (NPI) is 1205172152, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theo Nnebe's specialty?
- Theo Nnebe is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Theo Nnebe located?
- Theo Nnebe's practice location on file with NPPES is 20541 100th Ave, Hollis, NY 11423-3438.
- What is Theo Nnebe's phone number?
- The practice phone number listed in the NPPES registry for Theo Nnebe is (917) 913-1247.
- Is Theo Nnebe's NPI active?
- Yes — Theo Nnebe's NPI (1205172152) is active in the NPPES registry as of the last update on 2012-12-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.