Individual provider Active NPI

Tessa Zompanis, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1730636473
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
F402262-1 Issued in NY
Practice address
118 Park LN Park Lane Leeds
Brooklyn, NY 11211-2305
Phone
(917) 306-8874
NPI assigned
Sep 9, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X F402262-1 NY Primary

Addresses

Primary practice location

118 Park LN Park Lane Leeds
Brooklyn, NY 11211-2305

Mailing address

91 Jackson St
Brooklyn, NY 11211-2305

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
I20180928002163 NY Practitioner - Nurse Practitioner 9436400504 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F402262-1NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Jan 2, 2025 Accepting new patients
Soho NP in Psychiatry Ny PLLC CurrentSince Jun 29, 2025 Accepting new patients
East Point Medical PC Psychiatric/Mental Health CurrentSince Oct 24, 2020 Accepting new patients
Soho NP in Psychiatry PC PastSince Jan 31, 2021 Accepting new patients

Locations

6219 5th Ave
Brooklyn, NY 11220
Phone (718) 307-1577

7116 Grand Ave
Maspeth, NY 11378
Phone (718) 307-1577

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Organizations & group practices 4

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": "1473379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1730636473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 JACKSON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 PARK LN PARK LANE LEEDS",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112112305",
            "telephone_number": "917-306-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOMPANIS",
        "first_name": "TESSA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-09",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F402262-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.