MARIE LISE BROXTON
NPI 1285595256
Nurse Practitioner - Family in Fresh Meadows, NY

Q: What is Marie Lise Broxton's NPI number?

The NPI number for Marie Lise Broxton is 1285595256. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Q: What is Marie Lise Broxton's specialty?

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

Active since November 19, 2025

16040 78TH RD, FRESH MEADOWS, NY 11366(347) 869-3793 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marie Lise Broxton NPPES

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

MARIE LISE BROXTON (NPI 1285595256) is an individual family provider in Fresh Meadows, New York, licensed in New York (358293) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1285595256

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMARIE LISE BROXTON

Location Address16040 78TH RDFresh Meadows, NY 11366-1969

Mailing Address636 Lenox RdNorth Baldwin, NY 11510-1019 · (347) 869-3793

Phone(347) 869-3793

Sole ProprietorYes

Enumeration DateNovember 19, 2025

NPPES CertifiedNovember 19, 2025

✔ NPI 1285595256 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 · 358293

16040 78TH RD, Fresh Meadows, NY 11366

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Other Providers at the Same Location NPPES 6

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

MR. BRYAN THOMAS SNIPE NP

Nurse Practitioner (Acute Care)

16040 78TH RD
FRESH MEADOWS, NY 11366

Queens County (347) 776-1617

DAVID ZIRKIYEV PA-C

Physician Assistant

16040 78TH RD, SUITE 200
FRESH MEADOWS, NY 11366

Queens County (718) 544-1444

QUEENS NEPHROLOGY PRACTICE, PC

Internal Medicine (Nephrology)

16040 78TH RD, 3RD FLOOR
FRESH MEADOWS, NY 11366

Queens County (347) 475-0911

MS. QIAN CHEN NP

Specialist/Technologist, Other (Nephrology)

16040 78TH RD
FRESH MEADOWS, NY 11366

Queens County (347) 475-0911

NICOLE ANGELICA ALVAREZ NP

Internal Medicine (Nephrology)

16040 78TH RD
FRESH MEADOWS, NY 11366

Queens County (347) 475-0911

ANAM SIDDIQUI

Internal Medicine (Nephrology)

16040 78TH RD
FRESH MEADOWS, NY 11366

Queens County (347) 475-0911

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 Marie Lise Broxton's NPI number?

The NPI number for Marie Lise Broxton is 1285595256. It was assigned to this individual provider in the NPPES registry on November 19, 2025.

Where is Marie Lise Broxton located?

Marie Lise Broxton practices at 16040 78th Rd, Fresh Meadows, NY 11366. The listed phone number is (347) 869-3793.

What is Marie Lise Broxton'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 Marie Lise Broxton was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.