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MR. JIMMIE OVERSTREET
NPI 1508253733
Specialist in New York, NY

Active since April 27, 2015
236 2ND AVE, SUITE 401, NEW YORK, NY 10003(212) 683-8905(212) 683-8906 Get Directions Write a Review

NPPES record last updated: April 27, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Jimmie Overstreet NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JIMMIE OVERSTREET (NPI 1508253733) is an individual specialist in New York, New York, licensed in New York (497489041) and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1508253733
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. JIMMIE OVERSTREET
Location Address236 2ND AVE, SUITE 401New York, NY 10003-2704
Mailing Address9010 149th St, Apt 1bJamaica, NY 11435-3956 · (347) 770-1106
Phone(212) 683-8905
Fax(212) 683-8906
Sole ProprietorYes
Enumeration DateApril 27, 2015
✔ NPI 1508253733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 497489041
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
236 2ND AVE, New York, NY 10003
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNA SUKHER
Case Manager/Care Coordinator
236 2ND AVE
NEW YORK, NY 10003
New York County (212) 683-8905
MALYSSA LOPEZ COTA
Occupational Therapy Assistant
236 2ND AVE
NEW YORK, NY 10003
New York County (212) 683-8905
ZHIZHI ZHOU
Case Manager/Care Coordinator
236 2ND AVE
NEW YORK, NY 10003
New York County (212) 683-8905
PHYLLIS PARISI-ELLIS
Specialist
236 2ND AVE
NEW YORK, NY 10003
New York County (212) 683-8905
ALLISON EDWAB
Specialist
236 2ND AVE
NEW YORK, NY 10003
New York County (212) 683-8905
ANIKA VARRIALLE
Case Manager/Care Coordinator
236 2ND AVE
NEW YORK, NY 10003
New York County (212) 683-8905
MISS BERTA KHASINA M.S.ED
Specialist
236 2ND AVE
NEW YORK, NY 10003
New York County (212) 683-8906
IRYNA RODIONOVA
Case Manager/Care Coordinator
236 2ND AVE
NEW YORK, NY 10003
New York County (212) 683-8905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jimmie Overstreet's NPI number?

The NPI number for Jimmie Overstreet is 1508253733. It was assigned to this individual provider in the NPPES registry on April 27, 2015.

Where is Jimmie Overstreet located?

Jimmie Overstreet practices at 236 2nd Ave Suite 401, New York, NY 10003. The listed phone number is (212) 683-8905.

What is Jimmie Overstreet's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jimmie Overstreet was last updated on April 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.