Healthcare Provider Details

I. General information

NPI: 1902482599
Provider Name (Legal Business Name): REGINA ASKIA WILLIAMS NURSE PRACTITIONER(F
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2021
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 ENGLE STREET SUITE 2B
ENGLEWOOD NJ
07631-2446
US

IV. Provider business mailing address

185 ENGLE ST STE 2B
ENGLEWOOD NJ
07631-2446
US

V. Phone/Fax

Practice location:
  • Phone: 201-541-4052
  • Fax:
Mailing address:
  • Phone: 551-393-8077
  • Fax: 201-569-2850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NR15003000
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number26NJ15003000
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF342981
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: