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Jody Destefano
NPI 1912261488 · Specialist · Lake Grove, NY
Jody Destefano is a Specialist provider in Lake Grove, NY (NPI 1912261488).
Provider details
- NPI number
- 1912261488
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(73/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
9 Lindell Ave
Lake Grove, NY 11755-3121
Phone: (631) 285-1086
Street-level locationGet directions
Mailing address
9 Lindell Ave
Lake Grove, NY 11755-3121
Registry dates
- Enumerated
- 2012-06-29
- Last updated
- 2012-06-29
Frequently asked questions
- What is Jody Destefano's NPI number?
- Jody Destefano's National Provider Identifier (NPI) is 1912261488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jody Destefano's specialty?
- Jody Destefano is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Jody Destefano located?
- Jody Destefano's practice location on file with NPPES is 9 Lindell Ave, Lake Grove, NY 11755-3121.
- What is Jody Destefano's phone number?
- The practice phone number listed in the NPPES registry for Jody Destefano is (631) 285-1086.
- Is Jody Destefano's NPI active?
- Yes — Jody Destefano's NPI (1912261488) is active in the NPPES registry as of the last update on 2012-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.