IndividualActive
Timothy Ezadhe
NPI 1053684340 · Licensed Practical Nurse · Staten Island, NY
Timothy Ezadhe is a Licensed Practical Nurse provider in Staten Island, NY (NPI 1053684340).
Provider details
- NPI number
- 1053684340
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 306157-1 (NY)
Specialties & taxonomies
Nursing Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
151 Jersey St
Apt.1d
Staten Island, NY 10301-1464
Phone: (347) 785-3270
Street-level locationGet directions
Mailing address
151 Jersey Street
Staten Island, NY 10301
Registry dates
- Enumerated
- 2012-02-16
- Last updated
- 2012-02-16
Frequently asked questions
- What is Timothy Ezadhe's NPI number?
- Timothy Ezadhe's National Provider Identifier (NPI) is 1053684340, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Timothy Ezadhe's specialty?
- Timothy Ezadhe is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse (Nursing Service Providers).
- Where is Timothy Ezadhe located?
- Timothy Ezadhe's practice location on file with NPPES is 151 Jersey St, Staten Island, NY 10301-1464.
- What is Timothy Ezadhe's phone number?
- The practice phone number listed in the NPPES registry for Timothy Ezadhe is (347) 785-3270.
- Is Timothy Ezadhe's NPI active?
- Yes — Timothy Ezadhe's NPI (1053684340) is active in the NPPES registry as of the last update on 2012-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.