Phyllis Immitti, DMD
NPI 1669112116 · Student in an Organized Health Care Education/Training Program · Philadelphia, PA
Enrolled with Medicare as Order and Referring Only - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phyllis Immitti, DMD is a Student in an Organized Health Care Education/Training Program provider in Philadelphia, PA (NPI 1669112116).
Provider details
- NPI number
- 1669112116
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Credential
- DMD
- 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
4 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
- 2022-03-31
- Last updated
- 2022-03-31
- Certified
- 2022-03-31
Frequently asked questions
- What is Phyllis Immitti's NPI number?
- Phyllis Immitti's National Provider Identifier (NPI) is 1669112116, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phyllis Immitti's specialty?
- Phyllis Immitti 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 Phyllis Immitti located?
- Phyllis Immitti's practice location on file with NPPES is 3400 Spruce St, Philadelphia, PA 19104-4238.
- What is Phyllis Immitti's phone number?
- The practice phone number listed in the NPPES registry for Phyllis Immitti is (718) 887-6018.
- Does Phyllis Immitti accept Medicare?
- Phyllis Immitti is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phyllis Immitti's NPI active?
- Yes — Phyllis Immitti's NPI (1669112116) is active in the NPPES registry as of the last update on 2022-03-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.