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

Nadia N Douglas

Individual provider Family Nurse Practitioner · NPI 1720656192

Nadia N Douglas is a Nurse Practitioner in Bronx, New York. Qualified in 2020, 6 years ago. Practices with Montefiore Medical Center, a 2,796-clinician group. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2021
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Practice location Address checks out

3332 Rochambeau Ave
Bronx, NY 10467-2836
Phone: (718) 920-5157
Fax: (718) 655-0934
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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 F346836-01 (NY)

Record details

NPI number1720656192
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 14, 2021
Last updated in NPPESJune 14, 2021
Certification dateMay 28, 2021
Mailing address3332 Rochambeau Ave, Bronx, NY 10467-2836

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Montefiore Medical Center — 2796 clinicians
Accepts Medicare assignment Not indicated

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