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

Individual provider Physician Assistant · NPI 1942365986

Mrs. Adija Memboup, PA is a Physician Assistant in Danbury, Connecticut. Works from 2 locations. Licensed in Connecticut and New York.

Licensed in
CT, NY
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

24 Hospital Ave
Danbury, CT 06810-6077
Phone: (917) 873-5185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2490 — (718) 920-9838

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008489 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 5545 (CT)

Record details

NPI number1942365986
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 27, 2006
Last updated in NPPESMay 7, 2022
Certification dateMay 6, 2022

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