Individual provider Active NPI

Naomie Fritza Jeanty, CRNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1518486836
Registry record updated Oct 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F341322 Issued in NY
Practice address
104 W 40TH St RM 500
New York, NY 10018-3770
Phone
(212) 369-6757
NPI assigned
Sep 18, 2017
Last updated
Oct 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F341322 NY Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 406232 NY

Addresses

Primary practice location

104 W 40TH St RM 500
New York, NY 10018-3770

Mailing address

55 Water Street
2ND Floor Cred Dept
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4321

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190829000699 NJ Practitioner - Nurse Practitioner 9335408004 Reassigns benefits to 1 organization
I20210814000009 NY Practitioner - Nurse Practitioner 9335408004 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F341322NYMDFamily Nurse Practitioner
406232NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Sep 13, 2021 Accepting new patients
Advantagecare Physicians PC CurrentSince Sep 13, 2021 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jul 12, 2019 Accepting new patients
Soho Medical Doctors, PLLC CurrentSince Dec 15, 2024 Accepting new patients
Neuropsychiatric Services, PC CurrentSince Dec 15, 2024 Accepting new patients

Locations

350 Forsgate Dr
Ste 103
Monroe Twp, NJ 08831
Phone (609) 831-0779

256 Bunn Dr
Ste A
Princeton, NJ 08540
Phone (609) 430-9200

1 Union St
Ste 203
Robbinsville, NJ 08691
Phone (609) 436-5740

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

1000 Church Ave
Brooklyn, NY 11218
Phone (718) 826-4000

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

104 W 40th St
Rm 500
New York, NY 10018
Phone (844) 207-2912

55 Water St
Fl 2
New York, NY 10041

641 Lexington Ave
Fl 13
New York, NY 10022
Phone (212) 498-8923

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: naomie.jeanty.1@24989.direct.athenahealth.com

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760572800000",
    "number": "1518486836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER STREET",
            "address_2": "2ND FLOOR CRED DEPT",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 40TH ST RM 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100183770",
            "telephone_number": "212-369-6757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-4321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEANTY",
        "first_name": "NAOMIE",
        "middle_name": "FRITZA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-18",
        "last_updated": "2025-10-16",
        "certification_date": "2025-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F341322",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "406232",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.