Active NPI
Emily Abercrombie, P.A. - C
- Medical Physician Assistant
- New York, NY
National Provider Identifier
1043601677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 018397
- Practice address
- 1450 Madison Ave
New York, NY 10029-6508 - Phone
- (212) 241-7114
- NPI assigned
- Feb 18, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 018397 | NY | Primary |
Addresses
Primary practice location
1450 Madison Ave
New York, NY 10029-6508
Mailing address
1450 Madison Ave
New York, NY 10029-6508
Phone (212) 241-7114
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160609000279 | NY | Order and Referring Only - Physician Assistant | 8123318839 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018397 | NY | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1043601677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296508",
"telephone_number": "212-241-7114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 MADISON AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100296508",
"telephone_number": "212-241-7114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABERCROMBIE",
"first_name": "EMILY",
"name_prefix": "Miss",
"credential": "P.A. - C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-18",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NY",
"license": "018397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.