Nilufer Clubwala, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

053683 Issued in CT

Practice address

70 Gilbert St
Suite 103
Monroe, NY 10950-1538

Phone

(845) 782-8616

NPI assigned

Jan 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Allied Physicians Group, PLLC

  • Pediatrics Physician
  • Melville, NY
  • NPI 1396944799
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1861542888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GILBERT ST",
            "address_2": "SUITE 103",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501538",
            "telephone_number": "845-782-8616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GILBERT ST",
            "address_2": "SUITE 103",
            "city": "MONROE",
            "state": "NY",
            "postal_code": "109501538",
            "telephone_number": "845-782-8616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUBWALA",
        "first_name": "NILUFER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "167847",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "053683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01439541",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chesed Helping Hands Corp.
• Boyoung Choi
• Jacqueline Christmann
• Amanda Nicole Clark-Ramirez
• Anne Mary Clark, MT
• Andre J. Codispoti, M.D.
• Baila Cohn
• Kim Coles-Gonzales, SPECIAL EDUCATOR
• Sarah Colesanti, LMT
• Tedra Collica

• Psychiatry Physician in Monroe, NY
• Providers in Monroe, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.