IndividualActive
Jettaya Decosta, RN
NPI 1679815427 · Registered Nurse · Riverhead, NY
Jettaya Decosta, RN is a Registered Nurse provider in Riverhead, NY (NPI 1679815427).
Provider details
- NPI number
- 1679815427
- Entity type
- Individual
- Primary specialty
- Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 313600-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Nursing Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
124 Old Quogue Rd
Riverhead, NY 11901-3941
Phone: (631) 494-8488
Street-level locationGet directions
Mailing address
Po Box 1634
Riverhead, NY 11901-0604
Additional practice locations (1)
- 2 AldersgateApt #412Riverhead, NY 11901-1832Phone: (631) 494-8488
Registry dates
- Enumerated
- 2013-03-20
- Last updated
- 2019-04-30
Frequently asked questions
- What is Jettaya Decosta's NPI number?
- Jettaya Decosta's National Provider Identifier (NPI) is 1679815427, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jettaya Decosta's specialty?
- Jettaya Decosta is listed in the NPPES registry with a primary specialty of Registered Nurse (Nursing Service Providers).
- Where is Jettaya Decosta located?
- Jettaya Decosta's practice location on file with NPPES is 124 Old Quogue Rd, Riverhead, NY 11901-3941.
- What is Jettaya Decosta's phone number?
- The practice phone number listed in the NPPES registry for Jettaya Decosta is (631) 494-8488.
- Is Jettaya Decosta's NPI active?
- Yes — Jettaya Decosta's NPI (1679815427) is active in the NPPES registry as of the last update on 2019-04-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.