Healthcare Provider Details

I. General information

NPI: 1427965870
Provider Name (Legal Business Name): JAIME BABILA NP
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

319 E 46TH ST APT 2F
BROOKLYN NY
11203-3222
US

IV. Provider business mailing address

319 E 46TH ST APT 2F
BROOKLYN NY
11203-3222
US

V. Phone/Fax

Practice location:
  • Phone: 929-387-1258
  • Fax:
Mailing address:
  • Phone: 929-387-1258
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF313001-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: