DR. EJAZ YOUSEF MD NPI 1205996402

NPI Information

  • NPI: 1205996402
  • Provider Name: DR. EJAZ YOUSEF, MD
  • Classification: Pediatrics - 2080P0201X
  • Specialization: Pediatric Allergy/Immunology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 807 CHILDRENS WAY
    NEMOURS CHILDRENS CLINIC, JACKSONVILLE
    JACKSONVILLE, FL
    ZIP 32207
  • Phone: (904) 697-3600

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NPI Details

DR. Ejaz Yousef, MD is a pediatric allergy/immunology pediatrics in Jacksonville, FL. The provider is a pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. DR. Ejaz Yousef, MD NPI is 1205996402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

807 CHILDRENS WAY
NEMOURS CHILDRENS CLINIC, JACKSONVILLE
JACKSONVILLE, FL
ZIP 32207-426
Phone: (904) 697-3600
Fax: (904) 697-3455

The NPI 1205996402 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 12/11/2006 and was last updated on 5/6/2015.

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
12080P0201XPediatricsPediatric Allergy/Immunology56579WISCONSINNo
2207K00000XAllergy & Immunology56579WISCONSINNo
32080P0201XPediatricsPediatric Allergy/ImmunologyC10006135DELAWARENo
42080P0201XPediatricsPediatric Allergy/ImmunologyME120908FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
18301018MEDICAIDMARYLAND
2006508T34MEDICARE PIN
3001680789MEDICAIDPENNSYLVANIA
40033153424BMEDICAIDGEORGIA
564050859MEDICAIDKENTUCKY
6013670600MEDICAIDFLORIDA
78003700MEDICAIDNEW JERSEY
8G64419MEDICARE UPIN
91205996402MEDICAIDWISCONSIN

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: 11/21/2025

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