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General NPI Number Information
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NPI Number | 1669859096
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Entity Type | Individual
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Provider Name | JASON MEISEL PMHNP-BC, RN-BC
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Gender | Male
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Dates
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Enumeration Date | 05/06/2015
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 300 CADMAN PLZ W FL 12
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City | BROOKLYN
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State | NY
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Zip | 11201-3226
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Country | US
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Telephone | 740-777-6184
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Fax | 206-309-3725
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Provider Business Mailing Address
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Address Line | 300 CADMAN PLZ W FL 12
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City | BROOKLYN
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State | NY
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Zip | 11201-3226
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Country | US
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Telephone | 740-777-6184
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Fax | 206-309-3725
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F401965
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 612103
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License Number State | NY
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