MEDICARE: MRS. MICHELLE HAMMER NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	340632	NY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	400939	NY

General Provider Information

NPI Number	:	1225169584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MICHELLE HAMMER NP

Provider Business Mailing Address
First Line	:	2200 N CENTRAL RD
Second Line	:	#15E
City	:	FORT LEE
State	:	NJ
Zip	:	07024-7557
Country	:	US
Telephone Number	:	917-716-7945
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 W 27TH ST
Second Line	:	6TH FLOOR
City	:	NEW YORK
State	:	NY
Zip	:	10001-6227
Country	:	US
Telephone Number	:	212-691-2900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/08/2007
Last Update Date	:	09/11/2025

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