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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: August 16, 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
Phone(212) 305-2500
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
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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.

SHADY AHMED PT, DPT
Physical Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-3280
BRIGGITTE PAOLA ALCIVAR FNP
Nurse Practitioner (Family)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (347) 215-1922
MRS. CLAUDIA ANN GHIGLIOTTY OTR
Occupational Therapist
177 FORT WASHINGTON AVE, 8 GARDEN NORTH
NEW YORK, NY 10032
New York County (212) 305-8352
BRITTANY SHINN MS OTR/L
Occupational Therapist
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-8352
NATASHA LOUISA COLEMAN
Surgery (Surgical Critical Care)
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-5970
KIMBERLY BUKOSKI PA-C
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (203) 218-4748
ANDREW ANZALONE
Student in an Organized Health Care Education/Training Program
177 FORT WASHINGTON AVE, INTERNAL MEDICINE RESIDENCY OFFICE, FLOOR 6, CENTER 12
NEW YORK, NY 10032
New York County (212) 305-6262
DANIELLE NICOLE CRUZ PHYSICIAN ASSISTANT
Physician Assistant
177 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 305-2500

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 Elizabeth Jimenez Douglas's NPI number?

The NPI number for Elizabeth Jimenez Douglas is 1659115483. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Elizabeth Jimenez Douglas located?

Elizabeth Jimenez Douglas practices at 177 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 305-2500.

What is Elizabeth Jimenez Douglas's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Elizabeth Jimenez Douglas was last updated on March 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.