Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ahjale Thybulle

Individual provider Women's Health Nurse Practitioner · NPI 1710686423

Ahjale Thybulle is a Nurse Practitioner in Bronx, New York. Graduated from State University of New York Downstate Medical Center in 2022, 4 years ago. Practices with Wyckoff Professional Medical Services PC, a 155-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
4
Trained at
State University of New York Downstate Medical Center
Licensed in
NY
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1065 Southern Blvd
Bronx, NY 10459-2417
Phone: (718) 589-2440
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence F421607 (NY)

Record details

NPI number1710686423
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 1, 2023
Last updated in NPPESMay 4, 2023
Certification dateMarch 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduated 2022 (4 years in practice)
Group practice Wyckoff Professional Medical Services Pc — 155 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Bronx