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COURTNEY GILLIS
NPI 1881359610
Nurse Practitioner - Pediatrics in Brooklyn, NY

Active since November 06, 2021
2107 DITMAS AVE, BROOKLYN, NY 11226(718) 462-8100 Get Directions Write a Review

NPPES record last updated: November 6, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Courtney Gillis NPPES

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

COURTNEY GILLIS (NPI 1881359610) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (383343) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1881359610
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameCOURTNEY GILLIS
Location Address2107 DITMAS AVEBrooklyn, NY 11226-6903
Mailing Address2107 Ditmas AveBrooklyn, NY 11226-6903 · (718) 462-8100
Phone(718) 462-8100
Sole ProprietorNo
Enumeration DateNovember 6, 2021
NPPES CertifiedNovember 6, 2021
✔ NPI 1881359610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 383343
2107 DITMAS AVE, Brooklyn, NY 11226
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Other Providers at the Same Location NPPES 9

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

DITMAS PARK DIALYSIS CENTER LLC
Registered Nurse (Dialysis, Peritoneal)
2107 DITMAS AVE
BROOKLYN, NY 11226
Kings County (718) 462-8100
DR. MILREDY HERIVEAUX JOSEPH MD, MSN
Nurse Practitioner (Family)
2107 DITMAS AVE
BROOKLYN, NY 11226
Kings County (718) 462-8100
CARERITE LLC
Optometrist
2107 DITMAS AVE
BROOKLYN, NY 11226
Kings County (212) 764-0008
RAVEN SIMONE JAMES
Nurse Practitioner (Pediatrics)
2107 DITMAS AVE
BROOKLYN, NY 11226
Kings County (718) 462-8100
DITMAS PARK REHABILITATION & CARE CENTER LLC
Skilled Nursing Facility
2107 DITMAS AVE
BROOKLYN, NY 11226
Kings County (718) 462-8100
BRESNELT NICOLAS
Nurse Practitioner (Primary Care)
2107 DITMAS AVE
BROOKLYN, NY 11226
Kings County (718) 462-8100
YOCHEVED KNIEBERG
Social Worker
2107 DITMAS AVE
BROOKLYN, NY 11226
Kings County (718) 462-8100
DITMAS PARK REHABILITATION & CARE CENTER LLC
Skilled Nursing Facility (Nursing Care, Pediatric)
2107 DITMAS AVE
BROOKLYN, NY 11226
Kings County (718) 462-8100

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 Courtney Gillis's NPI number?

The NPI number for Courtney Gillis is 1881359610. It was assigned to this individual provider in the NPPES registry on November 6, 2021.

Where is Courtney Gillis located?

Courtney Gillis practices at 2107 Ditmas Ave, Brooklyn, NY 11226. The listed phone number is (718) 462-8100.

What is Courtney Gillis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Courtney Gillis was last updated on November 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.