Healthcare Provider Details

I. General information

NPI: 1285353722
Provider Name (Legal Business Name): NIOAMI BARKER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2182 PITKIN AVE
BROOKLYN NY
11207-3613
US

IV. Provider business mailing address

17133 105TH AVE
JAMAICA NY
11433-1723
US

V. Phone/Fax

Practice location:
  • Phone: 718-215-4011
  • Fax: 718-215-4042
Mailing address:
  • Phone: 347-779-7725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SA2100X
TaxonomyAcute Care Clinical Nurse Specialist
License NumberAPRN-CRNA292752
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License NumberF432268
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: