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CLARENCE NDUBISI
NPI 1063393361
Student in an Organized Health Care Education/Training Program in New York, NY

Active since September 11, 2025
177 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 305-2862 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clarence Ndubisi NPPES

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

CLARENCE NDUBISI (NPI 1063393361) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1063393361
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameCLARENCE NDUBISI
Location Address177 FORT WASHINGTON AVENew York, NY 10032-3733
Mailing Address60 Haven AveNew York, NY 10032-2604
Phone(212) 305-2862
Sole ProprietorNo
Enumeration DateSeptember 11, 2025
NPPES CertifiedSeptember 11, 2025
✔ NPI 1063393361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
177 FORT WASHINGTON AVE, New York, NY 10032
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHADY AHMED PT, DPT
Physical Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-3280
BRIGGITTE PAOLA ALCIVAR FNP
Nurse Practitioner (Family)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (347) 215-1922
MRS. CLAUDIA ANN GHIGLIOTTY OTR
Occupational Therapist
177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032
New York County (212) 305-8352
BRITTANY SHINN MS OTR/L
Occupational Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-8352
NATASHA LOUISA COLEMAN
Surgery (Surgical Critical Care)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5970
KIMBERLY BUKOSKI PA-C
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (203) 218-4748
ANDREW ANZALONE
Student in an Organized Health Care Education/Training Program
177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032
New York County (212) 305-6262
DANIELLE NICOLE CRUZ PHYSICIAN ASSISTANT
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2500

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 Clarence Ndubisi's NPI number?

The NPI number for Clarence Ndubisi is 1063393361. It was assigned to this individual provider in the NPPES registry on September 11, 2025.

Where is Clarence Ndubisi located?

Clarence Ndubisi practices at 177 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 305-2862.

What is Clarence Ndubisi's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Clarence Ndubisi was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.