Healthcare Provider Details

I. General information

NPI: 1538078126
Provider Name (Legal Business Name): DANA SCHAEPERKOETTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

305 E 33RD ST
NEW YORK NY
10016-9401
US

IV. Provider business mailing address

322 GARDEN ST APT 1
HOBOKEN NJ
07030-3827
US

V. Phone/Fax

Practice location:
  • Phone: 855-698-4232
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number312942
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: