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NIDHA AZAM
NPI 1942730296
Physician Assistant - Medical in Valley Stream, NY

Active since June 19, 2017
880 WOODMERE DR, VALLEY STREAM, NY 11581(347) 794-3385(347) 794-3385 Get Directions Write a Review

NPPES record last updated: June 19, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nidha Azam NPPES

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

NIDHA AZAM (NPI 1942730296) is an individual medical provider in Valley Stream, New York, licensed in New York (020840-1) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1942730296
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNIDHA AZAM
Location Address880 WOODMERE DRValley Stream, NY 11581-2736
Mailing Address880 Woodmere DrValley Stream, NY 11581-2736 · (347) 794-3385
Phone(347) 794-3385
Fax(347) 794-3385
Sole ProprietorNo
Enumeration DateJune 19, 2017
✔ NPI 1942730296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 020840-1
880 WOODMERE DR, Valley Stream, NY 11581
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Other Names 1

Professional Name (2)Nidha Azam Pa-c

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 Nidha Azam's NPI number?

The NPI number for Nidha Azam is 1942730296. It was assigned to this individual provider in the NPPES registry on June 19, 2017. The provider is also known as Nidha Azam Pa-C.

Where is Nidha Azam located?

Nidha Azam practices at 880 Woodmere Dr, Valley Stream, NY 11581. The listed phone number is (347) 794-3385.

What is Nidha Azam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Nidha Azam was last updated on June 19, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.