MR. THEODORE R NADELEN III MS, RN, FNP
NPI 1144391962
Nurse Practitioner - Family in Lyndonville, NY

Active since November 13, 2006
77 S MAIN ST, LYNDONVILLE, NY 14098(585) 765-2060(585) 765-2067 Get Directions Write a Review

NPPES record last updated: February 26, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Theodore R Nadelen Iii Ms, Rn, Fnp NPPES

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

MR. THEODORE R NADELEN III MS, RN, FNP (NPI 1144391962) is an individual family provider in Lyndonville, New York, licensed in New York (334787-1) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1144391962
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. THEODORE R NADELEN IIICredential: MS, RN, FNP
Location Address77 S MAIN STLyndonville, NY 14098-9771
Mailing Address300 West AveBrockport, NY 14420-1118
Fax(585) 765-2067
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateFebruary 26, 2013
NPI 1144391962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 334787-1
77 S MAIN ST, Lyndonville, NY 14098

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Federally Qualified Health Center (FQHC))
77 S MAIN ST
LYNDONVILLE, NY 14098
Family Medicine
77 S MAIN ST
LYNDONVILLE, NY 14098

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 Theodore Nadelen's NPI number?

The NPI number for Theodore Nadelen is 1144391962. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Theodore Nadelen located?

Theodore Nadelen practices at 77 S Main St, Lyndonville, NY 14098. The listed phone number is (585) 765-2060.

What is Theodore Nadelen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Theodore Nadelen was last updated on February 26, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.