TINA M WILLIAMS
NPI 1568022176
Nurse Practitioner - Family in Staten Island, NY

Active since June 17, 2019
2079 FOREST AVE, STATEN ISLAND, NY 10303(718) 815-6560(718) 815-6570 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tina M Williams NPPES

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

TINA M WILLIAMS (NPI 1568022176) is an individual family provider in Staten Island, New York, licensed in New York (344210) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1568022176
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTINA M WILLIAMS
Location Address2079 FOREST AVEStaten Island, NY 10303-1865
Mailing Address2079 Forest AveStaten Island, NY 10303-1865 · (718) 815-6560 · Fax (718) 815-6570
Fax(718) 815-6570
Sole ProprietorNo
Enumeration DateJune 17, 2019
NPI 1568022176 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 · 344210
2079 FOREST AVE, Staten Island, NY 10303

Other Providers at the Same Location NPPES 19

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

Family Medicine
2079 FOREST AVE
STATEN ISLAND, NY 10303
Nutritionist
2079 FOREST AVE
STATEN ISLAND, NY 10303
Family Medicine
2079 FOREST AVE
STATEN ISLAND, NY 10303
Pediatrics
2079 FOREST AVE
STATEN ISLAND, NY 10303
Social Worker
2079 FOREST AVE
STATEN ISLAND, NY 10303
Clinic/Center (Primary Care)
2079 FOREST AVE
STATEN ISLAND, NY 10303
Dietitian, Registered
2079 FOREST AVE
STATEN ISLAND, NY 10303
Internal Medicine
2079 FOREST AVE
STATEN ISLAND, NY 10303

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 Tina Williams's NPI number?

The NPI number for Tina Williams is 1568022176. It was assigned to this individual provider in the NPPES registry on June 17, 2019.

Where is Tina Williams located?

Tina Williams practices at 2079 Forest Ave, Staten Island, NY 10303. The listed phone number is (718) 815-6560.

What is Tina Williams'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 Tina Williams was last updated on June 17, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.