Provider Demographics
NPI:1316254683
Name:NGILI, PIERRE (MS, DNP, APN)
Entity type:Individual
Prefix:MR
First Name:PIERRE
Middle Name:
Last Name:NGILI
Suffix:
Gender:M
Credentials:MS, DNP, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:779 NORWAY AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08629-1304
Mailing Address - Country:US
Mailing Address - Phone:609-586-9654
Mailing Address - Fax:
Practice Address - Street 1:1019 E WATER ST
Practice Address - Street 2:
Practice Address - City:ELMIRA
Practice Address - State:NY
Practice Address - Zip Code:14901
Practice Address - Country:US
Practice Address - Phone:607-733-5696
Practice Address - Fax:607-737-1379
Is Sole Proprietor?:No
Enumeration Date:2010-09-08
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11657400163W00000X
NJ26NJ00297600363LP0808X
NY402355363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse