Individual provider Active NPI

Nefertiti Childrey, D.O.

  • Urology Physician
  • Bronx, NY
National Provider Identifier
1255538906
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
294320 Issued in NY
Practice address
234 E 149TH St Ste 2A7
Bronx, NY 10451-5504
Phone
(718) 579-6672
NPI assigned
Jun 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 294320 NY Primary
Urology Physician 208800000X 2012-01626 NC
Urology Physician 208800000X 3240 AL
Urology Physician 208800000X OT012276 PA

Addresses

Primary practice location

234 E 149TH St Ste 2A7
Bronx, NY 10451-5504

Mailing address

805 Columbus Ave
New York, NY 10025-5966
Phone (856) 796-2988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190222001169 NY Practitioner - General SurgeryPractitioner - Urology 9830341825 Reassigns benefits to 4 organizations
I20260408003663 AL Practitioner - Urology 9830341825 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Brightwaters Gynecology PCGroup PAC ID 9830428937, 7 clinicians

Practice addresses (Care Compare)

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

470 Taylor Rd
Suite 201
Montgomery, AL 36117-3532
Phone (334) 747-9720

755 N Broadway
Sleepy Hollow, NY 10591-1075
Phone (914) 302-0100

Hospital & facility affiliations

  • Lincoln Medical & Mental Health Center Hospital, Bronx, NY, CCN 330080
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Baptist Medical Center South Hospital, Montgomery, AL, CCN 010023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3240ALMDGeneral Practice Dentistry
2012-01626NCMDUrology Physician
OT012276PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Urology Care of New York PLLC Urology CurrentSince Jan 5, 2019 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Brightwaters Gynecology PC Urology CurrentSince Sep 14, 2023 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 6, 2019 Accepting new patients

Locations

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

7 W 51st St
Fl 8
New York, NY 10019
Phone (212) 218-3900

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

755 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 302-0100

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: nchildrey848278@nychhc.direct-ci.com
  • Direct secure messaging: nchildrey69166@northwell.direct-ci.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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1255538906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COLUMBUS AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255966",
            "telephone_number": "856-796-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST STE 2A7",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-6672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHILDREY",
        "first_name": "NEFERTITI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-27",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "294320",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2012-01626",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AL",
            "license": "3240",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "OT012276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.