What is Noelle Daversa's NPI number?

Noelle Daversa's National Provider Identifier (NPI) is 1619367778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Noelle Daversa's specialty?

Noelle Daversa is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).

Where is Noelle Daversa located?

Noelle Daversa's practice location on file with NPPES is 208 Holly Lane, Smithtown, NY 11787.

What is Noelle Daversa's phone number?

The practice phone number listed in the NPPES registry for Noelle Daversa is (631) 774-8665.

Is Noelle Daversa's NPI active?

Yes — Noelle Daversa's NPI (1619367778) is active in the NPPES registry as of the last update on 2015-01-28.

IndividualActive

Noelle Daversa

NPI 1619367778 · Specialist · Smithtown, NY

Noelle Daversa is a Specialist provider in Smithtown, NY (NPI 1619367778).

Provider details

NPI number: 1619367778
Entity type: Individual
Primary specialty: SpecialistOther Service Providers
Sex: Female
Sole proprietor: No
License: 2233020 (NY)

Specialties & taxonomies

SpecialistPrimary174400000XLicense 2233020 (NY)
Other Service Providers

Profile Score

Established profile(74/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
11 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

208 Holly Lane

Smithtown, NY 11787

Phone: (631) 774-8665

Street-level locationGet directions

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Mailing address