NIDHA AZAM NPI 1942730296

NPI Information

  • NPI: 1942730296
  • Provider Name: NIDHA AZAM
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 880 WOODMERE DR
    VALLEY STREAM, NY
    ZIP 11581
  • Phone: (347) 794-3385

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NPI Details

Nidha Azam is a medical physician assistant in Valley Stream, NY. Nidha Azam NPI is 1942730296. 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:

880 WOODMERE DR
VALLEY STREAM, NY
ZIP 11581-736
Phone: (347) 794-3385
Fax: (347) 794-3385

The NPI 1942730296 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/19/2017 and was last updated on 6/19/2017.

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
1363AM0700XPhysician AssistantMedical020840-1NEW 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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