Ivon Lestari Goutama, MD
NPI 1649030297 · Student in an Organized Health Care Education/Training Program · Bronx, NY
Ivon Lestari Goutama, MD is a Student in an Organized Health Care Education/Training Program provider in Bronx, NY (NPI 1649030297).
Provider details
- NPI number
- 1649030297
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Registry dates
- Enumerated
- 2024-03-20
- Last updated
- 2024-03-20
- Certified
- 2024-03-20
Frequently asked questions
- What is Ivon Lestari Goutama's NPI number?
- Ivon Lestari Goutama's National Provider Identifier (NPI) is 1649030297, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivon Lestari Goutama's specialty?
- Ivon Lestari Goutama is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Ivon Lestari Goutama located?
- Ivon Lestari Goutama's practice location on file with NPPES is 1650 Grand Concourse, Bronx, NY 10457-7697.
- What is Ivon Lestari Goutama's phone number?
- The practice phone number listed in the NPPES registry for Ivon Lestari Goutama is (718) 960-1449.
- Is Ivon Lestari Goutama's NPI active?
- Yes — Ivon Lestari Goutama's NPI (1649030297) is active in the NPPES registry as of the last update on 2024-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.