Provider Demographics
NPI:1194849026
Name:REMPEL, JAMES (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:REMPEL
Suffix:
Gender:M
Credentials:NURSE PRACTITIONER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 8TH ST
Mailing Address - Street 2:2R
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11215-6910
Mailing Address - Country:US
Mailing Address - Phone:718-768-0185
Mailing Address - Fax:
Practice Address - Street 1:14 W 118TH ST # 32
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10026-1904
Practice Address - Country:US
Practice Address - Phone:212-369-8339
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF380681-1363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics