1. Home
  2. Directory
  3. New York
  4. Staten Island
  5. Registered Nurse
  6. NPI Profile

DOUGLAS CLYBURN R.N.
NPI 1154685469
Registered Nurse - General Practice in Staten Island, NY

Active since July 02, 2012
23 YORK AVE, STATEN ISLAND, NY 10301(347) 937-0238 Get Directions Write a Review

NPPES record last updated: July 2, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Douglas Clyburn R.n. NPPES

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

DOUGLAS CLYBURN R.N. (NPI 1154685469) is an individual general practice provider in Staten Island, New York, licensed in New York (568854) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1154685469
Entity TypeIndividualMale
Primary Taxonomy163WG0000X
Provider Legal NameDOUGLAS CLYBURNCredential: R.N.
Location Address23 YORK AVEStaten Island, NY 10301-1326
Mailing Address23 York AveStaten Island, NY 10301-1326 · (347) 937-0238
Phone(347) 937-0238
Sole ProprietorYes
Enumeration DateJuly 2, 2012
✔ NPI 1154685469 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 14

★ Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License✔ Licensed in NY · 568854
Also ListedRegistered NurseTaxonomy 163W00000X · License 568854 (NY)
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X · License 568854 (NY)
Also ListedRegistered Nurse · Case ManagementTaxonomy 163WC0400X · License 568854 (NY)
Also ListedRegistered Nurse · Continence CareTaxonomy 163WC2100X · License 568854 (NY)
Also ListedRegistered Nurse · Diabetes EducatorTaxonomy 163WD0400X · License 568854 (NY)
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License 568854 (NY)
Also ListedRegistered Nurse · HospiceTaxonomy 163WH1000X · License 568854 (NY)
Also ListedRegistered Nurse · Infection ControlTaxonomy 163WI0600X · License 568854 (NY)
Also ListedRegistered Nurse · Medical-SurgicalTaxonomy 163WM0705X · License 568854 (NY)
Also ListedRegistered Nurse · Nutrition SupportTaxonomy 163WN1003X · License 568854 (NY)
Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X · License 568854 (NY)
Also ListedRegistered Nurse · Wound CareTaxonomy 163WW0000X · License 568854 (NY)
Also ListedRegistered Nurse · Ostomy CareTaxonomy 163WX1500X · License 568854 (NY)
23 YORK AVE, Staten Island, NY 10301
Open in Google Maps ↗

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 Douglas Clyburn's NPI number?

The NPI number for Douglas Clyburn is 1154685469. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Douglas Clyburn located?

Douglas Clyburn practices at 23 York Ave, Staten Island, NY 10301. The listed phone number is (347) 937-0238.

What is Douglas Clyburn's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Douglas Clyburn was last updated on July 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.