Individual provider Active NPI

Dina Abukharma, ACNP

  • Adult Health Nurse Practitioner
  • Maywood, NJ
National Provider Identifier
1083483580
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ14925800 Issued in NJ
Practice address
255 W Spring Valley Ave
Maywood, NJ 07607-1445
Phone
(551) 309-3555
Fax
(833) 775-0075
NPI assigned
Dec 26, 2023
Last updated
Aug 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 26NJ14925800 NJ Primary

Addresses

Primary practice location

255 W Spring Valley Ave
Maywood, NJ 07607-1445

Mailing address

616 McBride Ave
Woodland Park, NJ 07424-2822
Phone (862) 221-1775

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240418004108 NJ Practitioner - Nurse Practitioner 4486093754 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allhealthmedicalgroup Com PCGroup PAC ID 1456746692, 28 clinicians

Practice addresses (Care Compare)

357 Prospect Ave
Hackensack, NJ 07601-2519
Phone (551) 309-3555

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allhealthmedicalgroup Com PC CurrentSince Apr 21, 2025 Accepting new patients

Locations

700 E Palisade Ave
Englewood Cliffs, NJ 07632
Phone (201) 568-3412

357 Prospect Ave
Hackensack, NJ 07601
Phone (866) 567-3633

83 Summit Ave
Hackensack, NJ 07601
Phone (201) 646-0010

610 Valley Health Plz
Paramus, NJ 07652
Phone (201) 797-2660

428 Union Ave
Paterson, NJ 07502
Phone (201) 489-3888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23990/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1083483580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "616 MCBRIDE AVE",
            "city": "WOODLAND PARK",
            "state": "NJ",
            "postal_code": "074242822",
            "telephone_number": "862-221-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 W SPRING VALLEY AVE",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076071445",
            "telephone_number": "551-309-3555",
            "fax_number": "833-775-0075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUKHARMA",
        "first_name": "DINA",
        "credential": "ACNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ14925800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

Verify at the official NPI Registry.