MARISSA ASHLEY WILLOUGHBY-NAIDITCH NP NPI 1194283911

NPI Information

NPI: 1194283911
Provider Name: MARISSA ASHLEY WILLOUGHBY-NAIDITCH, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1125 CARROLL ST
BROOKLYN, NY
ZIP 11225
Phone: (646) 901-0994
Get Directions

Marissa Ashley Willoughby-naiditch, NP is a family nurse practitioner in Brooklyn, NY. Marissa Ashley Willoughby-naiditch, NP NPI is 1194283911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1125 CARROLL ST
BROOKLYN, NY
ZIP 11225-202
Phone: (646) 901-0994

The NPI 1194283911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/11/2019 and was last updated on 8/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	344027	NEW YORK	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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