TIMOTHY EZADHE
NPI 1053684340
Licensed Practical Nurse in Staten Island, NY

Active since February 16, 2012
151 JERSEY ST, APT.1D, STATEN ISLAND, NY 10301(347) 785-3270 Get Directions Write a Review

NPPES record last updated: February 16, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Timothy Ezadhe NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIMOTHY EZADHE (NPI 1053684340) is an individual licensed practical nurse in Staten Island, New York, licensed in New York (306157-1) and active in the NPI registry since February 2012.

NPPES Registry Identity

NPI1053684340
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameTIMOTHY EZADHE
Location Address151 JERSEY ST, APT.1DStaten Island, NY 10301-1464
Mailing Address151 Jersey Street, Apt.1dStaten Island, NY 10301 · (347) 785-3270
Sole ProprietorYes
Enumeration DateFebruary 16, 2012
NPI 1053684340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in NY · 306157-1
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

151 JERSEY ST, Staten Island, NY 10301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Timothy Ezadhe's NPI number?

The NPI number for Timothy Ezadhe is 1053684340. It was assigned to this individual provider in the NPPES registry on February 16, 2012.

Where is Timothy Ezadhe located?

Timothy Ezadhe practices at 151 Jersey St Apt.1d, Staten Island, NY 10301. The listed phone number is (347) 785-3270.

What is Timothy Ezadhe's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Timothy Ezadhe was last updated on February 16, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.