TIFFANY VAN BROCKLEN NPI 1750979522

NPI Information

  • NPI: 1750979522
  • Provider Name: TIFFANY VAN BROCKLEN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3277 MCDONALD AVE
    SCHENECTADY, NY
    ZIP 12304
  • Phone: (518) 682-7666

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NPI Details

Tiffany Van Brocklen is a family nurse practitioner in Schenectady, NY with 2 years of experience. Tiffany Van Brocklen NPI is 1750979522. 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:

3277 MCDONALD AVE
SCHENECTADY, NY
ZIP 12304-940
Phone: (518) 682-7666

The NPI 1750979522 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 1/6/2021 and was last updated on 4/8/2025.

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
1163WH0200XRegistered NurseHome Health718818NEW YORKNo
2363LF0000XNurse PractitionerFamilyF355107-01NEW 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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