TONYA GILLIAM LPN
NPI 1144852450
Pediatrics - Adolescent Medicine in Bronx, NY

Active since February 05, 2020
555 BERGEN AVE FL 4, BRONX, NY 10455(718) 742-5534 Get Directions Write a Review

NPPES record last updated: February 5, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tonya Gilliam Lpn NPPES

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

TONYA GILLIAM LPN (NPI 1144852450) is an individual adolescent medicine provider in Bronx, New York, licensed in New York (228252) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1144852450
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameTONYA GILLIAMCredential: LPN
Location Address555 BERGEN AVE FL 4Bronx, NY 10455-1368
Mailing Address101 Highland Ave Apt 3sYonkers, NY 10705-1272
Sole ProprietorYes
Enumeration DateFebruary 5, 2020
NPI 1144852450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in NY · 228252
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
555 BERGEN AVE FL 4, Bronx, NY 10455

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

Licensed Practical Nurse
555 BERGEN AVE FL 4
BRONX, NY 10455
Registered Nurse (Case Management)
555 BERGEN AVE FL 4
BRONX, NY 10455
Clinic/Center (Federally Qualified Health Center (FQHC))
555 BERGEN AVE FL 4
BRONX, NY 10455

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 Tonya Gilliam's NPI number?

The NPI number for Tonya Gilliam is 1144852450. It was assigned to this individual provider in the NPPES registry on February 5, 2020.

Where is Tonya Gilliam located?

Tonya Gilliam practices at 555 Bergen Ave Fl 4, Bronx, NY 10455. The listed phone number is (718) 742-5534.

What is Tonya Gilliam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Tonya Gilliam was last updated on February 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.