Khadejah Williams, NP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F354600-01 Issued in NY

Practice address

603 Nimrod CT
North Babylon, NY 11703-1501

Phone

(631) 482-4542

NPI assigned

Oct 24, 2024

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

Other names 1

• Khadejah Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1316769078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 NIMROD CT",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031501",
            "telephone_number": "631-482-4542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 NIMROD CT",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031501",
            "telephone_number": "631-482-4542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-SILVERA",
        "first_name": "KHADEJAH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F354600-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHADEJAH",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sandra J Victor
• Walgreen Co
• Sharon Elise Weidberg, SEIT
• Amy Wenz
• Peter E. Wharton, RPA-C
• Steven Hamuel Williams Jr., LPN
• Valarie Williams, MS,CCC-SLP
• Ashley Brooke Wilmot, DMD
• Winthrop Community Medical Affiliates, P.C.
• Winthrop Community Medical Affiliates, PC

• Family Medicine Physician in North Babylon, NY
• Providers in North Babylon, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.