Healthcare Provider Details

I. General information

NPI: 1851845754
Provider Name (Legal Business Name): JEANNIE OCASIO-HAMPTON NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2016
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 PARK STREET SUITE 100
BROOKLYN NY
11206
US

IV. Provider business mailing address

145 WEST, 15TH STREET 2ND FLOOR
NEW YORK NY
10011
US

V. Phone/Fax

Practice location:
  • Phone: 718-963-4430
  • Fax: 646-389-2794
Mailing address:
  • Phone: 212-924-6320
  • Fax: 646-306-0513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number340546
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: