IndividualActive
Alexis Tedesco
NPI 1528788080 · Specialist · Medford, NY
Alexis Tedesco is a Specialist provider in Medford, NY (NPI 1528788080).
Provider details
- NPI number
- 1528788080
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 2697512 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(60/100 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
1 Industrial Blvd
Medford, NY 11763-2220
Phone: (631) 297-3202
Street-level locationGet directions
Mailing address
1 Industrial Blvd
Medford, NY 11763-2220
Registry dates
- Enumerated
- 2022-09-02
- Last updated
- 2022-09-02
- Certified
- 2022-09-02
Frequently asked questions
- What is Alexis Tedesco's NPI number?
- Alexis Tedesco's National Provider Identifier (NPI) is 1528788080, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alexis Tedesco's specialty?
- Alexis Tedesco is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Alexis Tedesco located?
- Alexis Tedesco's practice location on file with NPPES is 1 Industrial Blvd, Medford, NY 11763-2220.
- What is Alexis Tedesco's phone number?
- The practice phone number listed in the NPPES registry for Alexis Tedesco is (631) 297-3202.
- Is Alexis Tedesco's NPI active?
- Yes — Alexis Tedesco's NPI (1528788080) is active in the NPPES registry as of the last update on 2022-09-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.