OrganizationActive
Provident Health Partners Inc.
NPI 1275157000 · Clinic/Center · Medford, NY
Provident Health Partners Inc. is a Clinic/Center organization in Medford, NY (NPI 1275157000).
Provider details
- NPI number
- 1275157000
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Desousa, Administrator(631) 266-4501
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
1529 N Ocean Ave Ste a
Medford, NY 11763-3587
Phone: (631) 266-4501
Fax: (631) 266-4502
Approximate (ZIP-level) locationGet directions
Mailing address
554 Larkfield Rd Ste 207
East Northport, NY 11731-4205
Registry dates
- Enumerated
- 2020-06-08
- Last updated
- 2020-06-08
- Certified
- 2020-06-08
Frequently asked questions
- What is Provident Health Partners Inc.'s NPI number?
- Provident Health Partners Inc.'s National Provider Identifier (NPI) is 1275157000, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Provident Health Partners Inc.?
- Provident Health Partners Inc. is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Provident Health Partners Inc. located?
- Provident Health Partners Inc.'s practice location on file with NPPES is 1529 N Ocean Ave Ste a, Medford, NY 11763-3587.
- What is Provident Health Partners Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Provident Health Partners Inc. is (631) 266-4501.
- Who is the authorized official for Provident Health Partners Inc.?
- The authorized official listed on Provident Health Partners Inc.'s NPPES record is Jennifer Desousa, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Provident Health Partners Inc.'s NPI active?
- Yes — Provident Health Partners Inc.'s NPI (1275157000) is active in the NPPES registry as of the last update on 2020-06-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.