Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kemba Hazeley, NNP-BC

Individual provider Critical Care Neonatal Nurse Practitioner · NPI 1811505928

Kemba Hazeley, NNP-BC is a Nurse Practitioner in Bronx, New York. Graduated from State University of New York at Stony Brook, School of Medicine in 2019, 7 years ago. Licensed in New York.

Years since qualifying
7
Trained at
State University of New York at Stony Brook, School of Medicine
Licensed in
NY
In the registry since
2020

Practice location Address checks out

1825 Eastchester Rd Fl 5N
Bronx, NY 10461-2301
Phone: (718) 904-4032
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Neonatal Nurse Practitioner (primary) Taxonomy 363LN0005X · Licence F350491 (NY)

Record details

NPI number1811505928
Entity typeIndividual (Type 1)
GenderFemale
Credentials NNP-BC
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESJuly 15, 2020
Certification dateJuly 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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