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DR. NICHOLAS NAYAK M.D.
NPI 1457439317
Clinic/Center - Primary Care in Normal, IL

Active since November 01, 2006
2010 JACOBSSEN DR, NORMAL, IL 61761(309) 452-0995(309) 862-0961 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicholas Nayak M.d. NPPES

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

DR. NICHOLAS NAYAK M.D. (NPI 1457439317) is an individual primary care provider in Normal, Illinois, licensed in Illinois (36067066) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1457439317
Entity TypeIndividualMale
Primary Taxonomy261QP2300X
Provider Legal NameDR. NICHOLAS NAYAKCredential: M.D.
Location Address2010 JACOBSSEN DRNormal, IL 61761-6280
Mailing Address2010 Jacobssen DrNormal, IL 61761-6280 · (309) 452-0995 · Fax (309) 862-0961
Phone(309) 452-0995
Fax(309) 862-0961
Sole ProprietorYes
Enumeration DateNovember 1, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1457439317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 36067066
2010 JACOBSSEN DR, Normal, IL 61761
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINC45144IL
Medicare ID-Type UnspecifiedK02776IL
Other05732039IL · Bcbs Of Illinois

Other Providers at the Same Location NPPES 7

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

MIDWEST ALLERGY SINUS ASTHMA S.C.
Specialist
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
AMBULATORY MEDICAL ASSOCIATES LLC
Clinic/Center (Primary Care)
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
MRS. KATHLEEN LALLY N.P.
Nurse Practitioner (Family)
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
DAREEN D SIRI M.D.
Internal Medicine (Allergy & Immunology)
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
DANA DALBAK PA-C
Physician Assistant
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
ANJULI S. NAYAK, M.D.
Specialist
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995
SWIA, LLC
Clinic/Center (Research)
2010 JACOBSSEN DR
NORMAL, IL 61761
McLean County (309) 452-0995

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 Nicholas Nayak's NPI number?

The NPI number for Nicholas Nayak is 1457439317. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is Nicholas Nayak located?

Nicholas Nayak practices at 2010 Jacobssen Dr, Normal, IL 61761. The listed phone number is (309) 452-0995.

What is Nicholas Nayak's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Nicholas Nayak was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.