Active NPI
Nancilyma Aidoo, FNP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0012429
- Practice address
- 1200 Webster Ave
Bronx, NY 10456-4208 - Phone
- (646) 612-7938
- Fax
- (646) 839-3915
- NPI assigned
- Aug 28, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | L1-0072231 | DE | |
| Nurse Practitioner | 363L00000X | LG-0012429 | DE | |
| Family Nurse Practitioner | 363LF0000X | R248932 | MD | |
| Family Nurse Practitioner | 363LF0000X | LG-0012429 | DE | Primary |
| Family Nurse Practitioner | 363LF0000X | F346286-01 | NY |
Addresses
Primary practice location
1200 Webster Ave
Bronx, NY 10456-4208
Mailing address
1200 Webster Ave
Bronx, NY 10456-4208
Other practice location 1
200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MD, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Lawrence Ave
Brooklyn, NY 11230-1102
Phone (718) 436-7600
200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 273-1701
310 E Pulaski Hwy
Christianacare Gohealth Urge
Elkton, MD 21921-6435
Phone (443) 485-6213
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L1-0072231 | DE | MD | Registered Nurse |
| LG-0012429 | DE | MD | Family Nurse Practitioner |
| R248932 | MD | MD | Family Nurse Practitioner |
| F346286-01 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Divinity Medical Services PLLC | Single Specialty | Current | Accepting new patients |
| Christiana Care Quality Partners | Single Specialty | Current | Accepting new patients |
| Medical Care at Home PC | Single Specialty | Current | Accepting new patients |
| Christiana Care Quality Partners | Past | Accepting new patients |
Locations
1011 E Songsmith Dr
Bear, DE 19701
Phone (302) 918-7501
200 Hygeia Dr
Newark, DE 19713
Phone (302) 273-1701
4724 Limestone Rd
Wilmington, DE 19808
Phone (302) 467-3595
5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780
310 E Pulaski Hwy
Elkton, MD 21921
Phone (443) 485-6213
101 North East Plz
North East, MD 21901
Phone (410) 543-2020
1210 Webster Ave
Bronx, NY 10456
Phone (646) 612-7747
220 E 42nd St
Fl 6
New York, NY 10017
Phone (212) 609-9640
3379 Crompond Rd
Yorktown Hts, NY 10598
Phone (914) 245-1111
5065 Wooster Rd
Cincinnati, OH 45226
Interoperability endpoints
- nancilyma.aidoo@ghuccc.eclinicaldirectplus.com
- nancilyma.aidoo.1@30409.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Newark, DE
- NPI 1164061867
MD, Single Specialty
-
- Urgent Care Clinic/Center
- Yorktown Heights, NY
- NPI 1497159560
Single Specialty
-
- Rehabilitation Clinic/Center
- New York, NY
- NPI 1730302019
-
- Urgent Care Clinic/Center
- Wilmington, DE
- NPI 1881367332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1225641129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 WEBSTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104564208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 WEBSTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104564208",
"telephone_number": "646-612-7938",
"fax_number": "646-839-3915"
}
],
"practiceLocations": [
{
"address_1": "200 Hygeia Dr",
"address_purpose": "LOCATION",
"city": "Newark",
"state": "DE",
"postal_code": "197132049",
"country_code": "US",
"telephone_number": "302-273-1701",
"fax_number": "302-273-4497",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AIDOO",
"first_name": "NANCILYMA",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-28",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "DE",
"license": "L1-0072231",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "DE",
"license": "LG-0012429",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R248932",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0012429",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F346286-01",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.