NADIA N DOUGLAS NPI 1720656192

NPI Information

  • NPI: 1720656192
  • Provider Name: NADIA N DOUGLAS
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3332 ROCHAMBEAU AVE
    BRONX, NY
    ZIP 10467
  • Phone: (718) 920-5157

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NPI Details

Nadia N Douglas is a family nurse practitioner in Bronx, NY with 6 years of experience. Nadia N Douglas NPI is 1720656192. 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:

3332 ROCHAMBEAU AVE
BRONX, NY
ZIP 10467-836
Phone: (718) 920-5157
Fax: (718) 655-0934

The NPI 1720656192 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 6/14/2021 and was last updated on 6/14/2021.

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
1363LF0000XNurse PractitionerFamilyF346836-01NEW YORKYes

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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