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Active NPI 1780821058 Individual Practitioner Male Practitioner

William Douglas , LPN

Licensed Practical Nurse • West Islip, NY

Professional Overview & Biography Verified Profile Summary

William Douglas, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in West Islip, NY. Practice services are available at 1709 MADISON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1709 Madison Ave

West Islip, NY 117951726

Telephone 6315873136

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in West Islip, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
18 Specialists

Practicing in West Islip, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 236107

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active January 08, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 08, 2009

Registered at 1709 MADISON AVE, WEST ISLIP, NY 117951726 (Tel: 6315873136)

📍
Updated Business Mailing Address January 08, 2009

Registered at 1709 MADISON AVE, WEST ISLIP, NY 117951726 (Tel: 6315873136)

👤
Provider Name / Credentials Updated January 08, 2009

Recorded as WILLIAM DOUGLAS, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2009

Licensed Practical Nurse (License #236107 in NY)

🟢
Initial NPI Registration & Enumeration January 08, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780821058
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 08, 2009
Last Update: January 08, 2009
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1709 Madison Ave

West Islip, NY 117951726

Phone: 6315873136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.