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MARILYN MONIQUE DOUGLAS FNP
NPI 1700914835
Nurse Practitioner - Family in New York, NY

Active since March 01, 2007
560 1ST AVE, TISCH 16 EAST, NEW YORK, NY 10016(212) 263-5630 Get Directions Write a Review

NPPES record last updated: August 20, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2020, Nov 10, 2015 (2 updates tracked since 2015).

About Marilyn Monique Douglas Fnp NPPES

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

MARILYN MONIQUE DOUGLAS FNP (NPI 1700914835) is an individual family provider in New York, New York, licensed in New York (F334986) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1700914835
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMARILYN MONIQUE DOUGLASCredential: FNP
Location Address560 1ST AVE, TISCH 16 EASTNew York, NY 10016-6402
Mailing Address215 Lorraine AveMount Vernon, NY 10552-3702 · (914) 924-2568
Phone(212) 263-5630
Sole ProprietorYes
Enumeration DateMarch 1, 2007
Last NPPES UpdateAugust 20, 20202 updates tracked since enumeration
NPPES CertifiedAugust 20, 2020
✔ NPI 1700914835 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 · F334986
560 1ST AVE, New York, NY 10016
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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.

MASASHI ROTTE M.D.
Emergency Medicine
560 1ST AVE
NEW YORK, NY 10016
New York County (215) 955-6844
LINDSEY E WALL NP
Nurse Practitioner (Women's Health)
560 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-5640
DR. MAJ L WICKSTROM M.D.
Radiology (Diagnostic Radiology)
560 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-0050
MRS. IRENE RICHMAN
Nurse Practitioner (Adult Health)
560 1ST AVE, 11 EAST NURSING STATION
NEW YORK, NY 10016
New York County (212) 263-7300
DEANNA STEFFENS R.PH, MS
General Acute Care Hospital
560 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-2094
MRS. SVETLANA PAVLOVNA BUYNITSKY
Nurse Practitioner (Adult Health)
560 1ST AVE
NEW YORK, NY 10016
New York County (917) 841-1271
MARK S. LIFSHITZ MD
Pathology (Blood Banking & Transfusion Medicine)
560 1ST AVE, TH-374
NEW YORK, NY 10016
New York County (212) 263-5445
SHARDA MCGUIRE FNP
Nurse Practitioner (Acute Care)
560 1ST AVE, HCC 11
NEW YORK, NY 10016
New York County (347) 213-9076

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 Marilyn Douglas's NPI number?

The NPI number for Marilyn Douglas is 1700914835. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Marilyn Douglas located?

Marilyn Douglas practices at 560 1st Ave Tisch 16 East, New York, NY 10016. The listed phone number is (212) 263-5630.

What is Marilyn Douglas'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 Marilyn Douglas was last updated on August 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.