DEIRDRE NELSON PA-C
NPI 1669356762
Physician Assistant in New York, NY

Active since August 01, 2025
1468 MADISON AVE, GP 5W, NEW YORK, NY 10029(212) 241-8867 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Deirdre Nelson Pa-c NPPES

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

DEIRDRE NELSON PA-C (NPI 1669356762) is an individual physician assistant in New York, New York, licensed in New York (034206) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1669356762
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDEIRDRE NELSONCredential: PA-C
Location Address1468 MADISON AVE, GP 5WNew York, NY 10029-6508
Mailing Address56 Inwood AvePoint Lookout, NY 11569-3017 · (516) 384-2242
Sole ProprietorNo
Enumeration DateAugust 1, 2025
Last NPPES UpdateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
NPI 1669356762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 034206
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.
1468 MADISON AVE, New York, NY 10029

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.

Nurse Practitioner
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1468 MADISON AVE
NEW YORK, NY 10029
Counselor (Mental Health)
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029
Physician Assistant
1468 MADISON AVE
NEW YORK, NY 10029

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 Deirdre Nelson's NPI number?

The NPI number for Deirdre Nelson is 1669356762. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Where is Deirdre Nelson located?

Deirdre Nelson practices at 1468 Madison Ave Gp 5W, New York, NY 10029. The listed phone number is (212) 241-8867.

What is Deirdre Nelson'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 Deirdre Nelson was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.