- Practice location
- 355 W 52ND St, New York, NY 10019-6239
- Phone
- 646-754-2100
- Fax
- —
- Last updated
- October 19, 2017
Khadijah Absalom is a Nurse Practitioner, Family based in New York, NY. Khadijah Absalom practices in New York, NY and has the professional credentials of NP. The NPI Number for Khadijah Absalom is 1548771322 and holds a License No. 342208 (NY). The current practice location address for Khadijah Absalom is 355 W 52ND St, New York, NY 10019-6239 and can be reached out via phone at 646-754-2100.
Provider Profile Details
- NPI Number
- 1548771322
- Provider Name
- Khadijah Absalom
- Credential
- NP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 355 W 52ND St, New York, NY 10019-6239
- Phone Number
- 646-754-2100
- Primary Taxonomy
- Nurse Practitioner, Family · 363LF0000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 19, 2017
- Last Update Date
- October 19, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 355 W 52ND St
New York, NY 10019-6239 - City
- New York
- State
- New York
- Zip
- 10019-6239
- Phone Number
- 646-754-2100
Provider Business Mailing Address Details
- Address
- 34 Wexford Ln
Oceanside, NY 11572-5229 - City
- Oceanside
- State
- NY
- Zip
- 11572-5229
- Phone Number
- 347-821-2664
License Information
- License Number
- 342208
- License State
- NY
- Taxonomy
- Nurse Practitioner, Family · 363LF0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Khadijah Absalom, NP?
The NPI number of Ms. Khadijah Absalom, NP is 1548771322. It was assigned on October 19, 2017 and is currently active in the NPPES registry.
What is the specialty of Ms. Khadijah Absalom, NP?
Ms. Khadijah Absalom, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 342208.
Where does Ms. Khadijah Absalom, NP practice?
The practice location is 355 W 52ND St, New York, NY 10019-6239. The office can be reached at 646-754-2100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1548771322 directly on the NPPES registry website.