Individual provider · Type 1 NPI

Nirmala Amelia D'auguste Dejesus, MD

Family Medicine Physician · Islip, NY

NPI number 1063152767 Active

Practice location

260 Main St Ste 1
Islip, NY 11751-3450

Fax (631) 548-6823

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X340697 (NY)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1063152767

Nirmala Amelia D'auguste Dejesus, MD's National Provider Identifier is 1063152767, issued on Mar 30, 2022. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Islip, NY. The record was last updated on Dec 9, 2025.