Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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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
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Practice location Address checks out

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients11
Services billed 12 a service is one billed item, such as a visit, a test or a procedure
Average patient age59

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Wyckoff Professional Medical Services PC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 155 clinicians in the practice; 12 are shown here.

Other providers in Bronx