Active NPI
Erica Renee Williams, NURSE PRACTITIONER
- Pediatrics Physician
- Nyack, NY
National Provider Identifier
1336856970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 381966
- Practice address
- 300 Piermont Ave Apt 3G
Nyack, NY 10960-4654 - Phone
- (914) 409-6259
- NPI assigned
- Nov 2, 2022
- Last updated
- Nov 2, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 381966 | NY | Primary |
Addresses
Primary practice location
300 Piermont Ave Apt 3G
Nyack, NY 10960-4654
Mailing address
300 Piermont Ave Apt 3G
Nyack, NY 10960-4654
Phone (914) 409-6259
Other names 1
- Prof. Erica Renee Williams
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eriwilli@montefiore.org | Direct | Montefiore Medical Center |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 381966 | NY | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1336856970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 PIERMONT AVE APT 3G",
"city": "NYACK",
"state": "NY",
"postal_code": "109604654",
"telephone_number": "914-409-6259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PIERMONT AVE APT 3G",
"city": "NYACK",
"state": "NY",
"postal_code": "109604654",
"telephone_number": "914-409-6259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ERICA",
"middle_name": "RENEE",
"name_prefix": "Ms.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "381966",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eriwilli@montefiore.org",
"affiliation": "Y",
"endpointDescription": "email address",
"affiliationName": "Montefiore Medical Center",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "300 Piermont Ave Apt 3G",
"city": "Nyack",
"state": "NY",
"country_code": "US",
"postal_code": "109604654",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ERICA",
"last_name": "WILLIAMS",
"middle_name": "RENEE",
"prefix": "PROF.",
"credential": "NP",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.