MISS KIMBERLY ANN DEFATTA PNP
NPI 1992903983
Nurse Practitioner - Pediatrics in Jamaica, NY

Active since July 11, 2007
8268 164TH ST, JAMAICA, NY 11432(718) 883-4500 Get Directions Write a Review

NPPES record last updated: July 11, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Kimberly Ann Defatta Pnp NPPES

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

MISS KIMBERLY ANN DEFATTA PNP (NPI 1992903983) is an individual pediatrics provider in Jamaica, New York, licensed in New York (F381894-1) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1992903983
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMISS KIMBERLY ANN DEFATTACredential: PNP
Location Address8268 164TH STJamaica, NY 11432-1121
Mailing Address5631 226th St, Apt 1Oakland Gardens, NY 11364-2044
Sole ProprietorNo
Enumeration DateJuly 11, 2007
NPI 1992903983 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 · F381894-1
8268 164TH ST, Jamaica, NY 11432

Other Names 1

Professional Name (2)Miss Kimberly Ann Defatta Pnp

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.

Pharmacist
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant (Medical)
8268 164TH ST, ROOM A531
JAMAICA, NY 11432
Social Worker
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Student in an Organized Health Care Education/Training Program
8268 164TH ST
JAMAICA, NY 11432
Psychiatry & Neurology (Child & Adolescent Psychiatry)
8268 164TH ST
JAMAICA, NY 11432
Physician Assistant
8268 164TH ST
JAMAICA, NY 11432
Psychologist (Clinical Child & Adolescent)
8268 164TH ST
JAMAICA, NY 11432

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 Kimberly Defatta's NPI number?

The NPI number for Kimberly Defatta is 1992903983. It was assigned to this individual provider in the NPPES registry on July 11, 2007. The provider is also known as Miss Kimberly Ann Defatta Pnp.

Where is Kimberly Defatta located?

Kimberly Defatta practices at 8268 164th St, Jamaica, NY 11432. The listed phone number is (718) 883-4500.

What is Kimberly Defatta'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 Kimberly Defatta was last updated on July 11, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.