Theo Nnebe
Specialist · Hollis, NY
Theo Nnebe is a specialist with a practice address in Hollis, New York, and NPI 1205172152, issued on Dec 21, 2012. Check the license (New York 777420, as entered in NPPES) with the New York board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Theo Nnebe
- Primary taxonomy
- Specialist 174400000X
- License number
- 777420 NY
Self-reported in NPPES; status is on the state search - Practice location
- 20541 100TH Ave, Hollis, NY 11423
- Phone
- (917) 913-1247
- Enumerated
- Dec 21, 2012
- Record last updated
- Dec 21, 2012 (not updated in 14 years: call before relying on the address or phone)
- Entity
- Type 1 · individual
8 nearest specialist records → All 22,636 in New York → Look up another NPI →
Verify Theo Nnebe in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New York board licenses this profession
Search for license 777420Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Theo Nnebe among 22,636 specialist records in New York
Theo Nnebe is one of 22,636 specialist records with a practice address in New York. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2012, is newer than 15% of them.
- NPI issued2012 · 15% of these records are older, 61% newer
- In a Medicare fileNo · 6% of these records are
- In the CMS Doctors and Clinicians fileNo · 4% of these records are
- Record last updated2012 · 73% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 174400000X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
15 specialist records list a practice address in Hollis
They are 15 of the 366 NPPES records with a practice address in Hollis, and 22,636 specialist records in New York. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 22,636 in New York → Every provider in Hollis → Specialist nationwide →
The 8 specialist records with the nearest ZIP codes
- Alishaa Ali, B.A.Hollis, NY 114231548696891
- Mariuxi Andraca, MSED/BEHollis, NY 114231114289758
- Mira AronovaHollis, NY 114231205203767
- Kamini BaichuHollis, NY 114231447884317
- Indermattie Balkaran, MSJamaica, NY 114231154671949
- Braz Bortot, M.D.Hollis, NY 114231396988572
- Hodaya EzraHollis, NY 114231730796624
- Judd Levy, M.D.Hollis, NY 114231861514424
Common questions
What is Theo Nnebe's NPI number?
Theo Nnebe's National Provider Identifier (NPI) is 1205172152, issued on Dec 21, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Theo Nnebe located?
The NPPES record lists a practice address at 20541 100TH Ave, Hollis, NY, 11423. Phone: (917) 913-1247. Providers update this record themselves, so call before visiting.
How can I verify Theo Nnebe's license?
NPPES lists New York license number 777420, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.