Custom Trt US Inc
NPI 1528883725 · Medical Specialty Clinic/Center · Port Jefferson Station, NY
Custom Trt US Inc is a Medical Specialty Clinic/Center organization in Port Jefferson Station, NY (NPI 1528883725).
Provider details
- NPI number
- 1528883725
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Amanda Wiermann, President(516) 652-6509
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Other names (DBA / former)
- Doing business as
- Custom Trt
Registry dates
- Enumerated
- 2024-11-21
- Last updated
- 2024-11-21
- Certified
- 2024-11-21
Frequently asked questions
- What is Custom Trt US Inc's NPI number?
- Custom Trt US Inc's National Provider Identifier (NPI) is 1528883725, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Custom Trt US Inc?
- Custom Trt US Inc is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Custom Trt US Inc located?
- Custom Trt US Inc's practice location on file with NPPES is 69 Clymer Street, Port Jefferson Station, NY 11776.
- What is Custom Trt US Inc's phone number?
- The practice phone number listed in the NPPES registry for Custom Trt US Inc is (631) 260-1945.
- Who is the authorized official for Custom Trt US Inc?
- The authorized official listed on Custom Trt US Inc's NPPES record is Amanda Wiermann, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Custom Trt US Inc's NPI active?
- Yes — Custom Trt US Inc's NPI (1528883725) is active in the NPPES registry as of the last update on 2024-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.