Individual provider Active NPI

Darlene Latasha Parham, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1053820464
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
353368 Issued in NY
Practice address
400 Saint Marks Ave
2A
Brooklyn, NY 11238
Phone
(516) 234-1908
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 353368 NY Primary

Addresses

Primary practice location

400 Saint Marks Ave
2A
Brooklyn, NY 11238

Mailing address

400 Saint Marks Ave
Brooklyn, NY 11238-3720
Phone (516) 234-1908

Other names 1

  • Darlene Latasha Parham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240628002354 NY Practitioner - Nurse Practitioner 8325582554 Reassigns benefits to 2 organizations
Practice locations: Brooklyn, NY; Rockaway Park, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Brooklyn, NY 11238
Phone (877) 258-6331

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
353368NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ocean NP in Family Health PLLC Family CurrentSince May 21, 2024 Accepting new patients
Optimum Care NP in Family Health PLLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436

475 New Hempstead Rd
New City, NY 10956
Phone (347) 829-6863

137 Route 303
Unit 513
Vly Cottage, NY 10989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1053820464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SAINT MARKS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112383720",
            "telephone_number": "516-234-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SAINT MARKS AVE",
            "address_2": "2A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "516-234-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARHAM",
        "first_name": "DARLENE",
        "middle_name": "LATASHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "353368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DARLENE",
            "last_name": "PARHAM",
            "middle_name": "LATASHA",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.