Organization Active NPI

Ba Family Health NP Practice LLC

  • Family Nurse Practitioner
  • Gloversville, NY
National Provider Identifier
1083313605
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
BA FAMILY HEALTH NP PRACTICE LLC
Practice address
268 N Kingsboro Ave
Gloversville, NY 12078-1133
Phone
(518) 448-3842
NPI assigned
Mar 2, 2023
Last updated
Feb 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Authorized official

Name
Barbara AbigideNPI 1770070500
Title
Owner
Phone
(518) 448-3842

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

268 N Kingsboro Ave
Gloversville, NY 12078-1133

Mailing address

268 N Kingsboro Ave
Gloversville, NY 12078-1133
Phone (518) 448-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240521001339 NY Part B Supplier - Clinic/Group Practice 6204278385 Receives reassigned benefits from 1 practitioner
Practice locations: Gloversville, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708041600000",
    "number": "1083313605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 N KINGSBORO AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781133",
            "telephone_number": "518-448-3842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 N KINGSBORO AVE",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120781133",
            "telephone_number": "518-448-3842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BA FAMILY HEALTH NP PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A",
        "authorized_official_last_name": "ABIGIDE",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-448-3842"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.