Active NPI
Abigail B Nunez
- Family Medicine Physician
- New York, NY
National Provider Identifier
1174398010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 353081
- Practice address
- 517 W 181St St Ofc
New York, NY 10033-5102 - Phone
- (732) 789-0801
- NPI assigned
- Nov 21, 2023
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 353081 | NY | Primary |
Addresses
Primary practice location
517 W 181St St Ofc
New York, NY 10033-5102
Mailing address
517 W 181St St
New York, NY 10033-5102
Phone (732) 789-0801
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
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
26 Firemens Memorial Dr
Suite 115
Pomona, NY 10970-3553
615 W 183Rd St
Apt 4D
New York, NY 10033-3929
615 W 183Rd St Apt
4D
New York, NY 10033-3929
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 353081 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empire State Medical Wellness PC | Current | Accepting new patients | |
| Queens Obstetrics & Gynecology Services PC | Past | Accepting new patients |
Locations
8215 35th Ave
Jackson Heights, NY 11372
Phone (929) 424-3337
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Jackson Heights, NY
- NPI 1518746478
-
- Obstetrics & Gynecology Physician
- Jackson Heights, NY
- NPI 1770044208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700524800000",
"number": "1174398010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 W 181ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100335102",
"telephone_number": "732-789-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 W 181ST ST OFC",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100335102",
"telephone_number": "732-789-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ",
"first_name": "ABIGAIL",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-21",
"last_updated": "2023-11-21",
"certification_date": "2023-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "353081",
"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 Nov 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.