ELIZABETH JO ANN JIMENEZ DOUGLAS PA
NPI 1659115483
Physician Assistant in New York, NY

Active since June 25, 2024
177 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 305-2500 Get Directions Write a Review

NPPES record last updated: March 8, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 8, 2026, Jun 25, 2024 (2 updates tracked since 2024).

About Elizabeth Jo Ann Jimenez Douglas Pa NPPES

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

ELIZABETH JO ANN JIMENEZ DOUGLAS PA (NPI 1659115483) is an individual physician assistant in New York, New York and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1659115483
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameELIZABETH JO ANN JIMENEZ DOUGLASCredential: PA
Location Address177 FORT WASHINGTON AVENew York, NY 10032-3733
Mailing Address177 Fort Washington AveNew York, NY 10032-3733 · (212) 305-2633 · Fax (212) 305-2439
Sole ProprietorNo
Enumeration DateJune 25, 2024
Last NPPES UpdateMarch 8, 20262 updates tracked since enumeration
NPPES CertifiedMarch 8, 2026
NPI 1659115483 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

177 FORT WASHINGTON AVE, New York, NY 10032

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Psychiatry)
177 FORT WASHINGTON AVE, MILSTEIN HOSPITAL
NEW YORK, NY 10032
Specialist
177 FORT WASHINGTON AVE, 7-435 G.N.
NEW YORK, NY 10032
Psychiatry & Neurology (Psychiatry)
177 FORT WASHINGTON AVE, MILSTEIN 9 GARDEN NORTH
NEW YORK, NY 10032
Psychiatry & Neurology (Psychiatry)
177 FORT WASHINGTON AVE, MILSTEIN 9 GARDEN NORTH
NEW YORK, NY 10032
Psychiatry & Neurology (Psychiatry)
177 FORT WASHINGTON AVE, MILSTEIN 9 GARDEN NORTH
NEW YORK, NY 10032
Psychiatry & Neurology (Psychiatry)
177 FORT WASHINGTON AVE, MILSTEIN 9 GARDEN NORTH
NEW YORK, NY 10032
Psychiatry & Neurology (Psychiatry)
177 FORT WASHINGTON AVE, MILSTEIN 9 GARDEN NORTH
NEW YORK, NY 10032
Psychiatry & Neurology (Psychiatry)
177 FORT WASHINGTON AVE, MILSTEIN 9 GARDEN NORTH
NEW YORK, NY 10032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659115483, enumerated as an "individual" on June 25, 2024.

The provider is located at 177 FORT WASHINGTON AVE NEW YORK, NY 10032 and the phone number is (212) 305-2500.

Physician Assistant with taxonomy code 363A00000X.