Marie Lise Broxton

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

358293 Issued in NY

Practice address

16040 78TH Rd
Fresh Meadows, NY 11366-1969

Phone

(347) 869-3793

NPI assigned

Nov 19, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1763510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1285595256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 LENOX RD",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101019",
            "telephone_number": "347-869-3793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16040 78TH RD",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661969",
            "telephone_number": "347-869-3793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROXTON",
        "first_name": "MARIE LISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-19",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "358293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Broda
• Shadell Catrina Brown Edwards
• Alicia Toyna Brown, LMSW
• Brittany Max Brown, BCBA, LBA
• Kimberly A Brownell, SLP
• Lauren Ann Brue, MS ED
• Sally Bruhim, MA
• Gabriella Brusca
• Dorret Bryan
• Alicia Buczek, LMSW

• Family Nurse Practitioner in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.