Healthcare Provider Details

I. General information

NPI: 1124932264
Provider Name (Legal Business Name): NADIA JAYID FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

326 E 149TH ST
BRONX NY
10451-5602
US

IV. Provider business mailing address

326 E 149TH ST
BRONX NY
10451-5602
US

V. Phone/Fax

Practice location:
  • Phone: 718-587-5793
  • Fax: 718-435-0251
Mailing address:
  • Phone: 718-587-5793
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number359107
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: