Healthcare Provider Details

I. General information

NPI: 1679220230
Provider Name (Legal Business Name): NICHOLAS JOSEPH MCNIFFE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2022
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 ERWIN RD
DURHAM NC
27705-4699
US

IV. Provider business mailing address

DUKE DEPARTMENT OF ANESTHESIOLOGY DUMC 3094
DURHAM NC
27710-0001
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-8111
  • Fax:
Mailing address:
  • Phone: 919-684-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number2024-00271
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: