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

Ebony Baker

Individual provider Family Nurse Practitioner · NPI 1417831967

Ebony Baker is a Nurse Practitioner in New York, New York. Qualified in 2025, 1 year ago. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

220 E 42nd St Fl 7
New York, NY 10017-5835
Phone: (917) 608-0712
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 357951 (NY)
Registered Nurse Taxonomy 163W00000X · Licence 765143 (NY)

Record details

NPI number1417831967
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2025
Last updated in NPPESNovember 16, 2025
Certification dateNovember 16, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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