Individual provider Active NPI

Abigail B Nunez

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1174398010
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
353081 Issued in NY
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

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204004454 NY Practitioner - Nurse Practitioner 6002309226 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
353081NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State Medical Wellness PC CurrentSince Aug 17, 2025 Accepting new patients
Queens Obstetrics & Gynecology Services PC PastSince Jul 6, 2019 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.

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

Verify at the official NPI Registry.