Healthcare Provider Details

I. General information

NPI: 1417837808
Provider Name (Legal Business Name): OLENKA HAMILTON RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 PARK AVE
FLORHAM PARK NJ
07932-1049
US

IV. Provider business mailing address

292 OAK ST APT TD
RIDGEWOOD NJ
07450-2595
US

V. Phone/Fax

Practice location:
  • Phone: 973-404-9980
  • Fax: 973-660-1818
Mailing address:
  • Phone: 973-404-9980
  • Fax: 973-660-1818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number26NR15099500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: