Individual provider Active NPI

Wellington J Fabian-Morales, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1245078062
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354794 Issued in NY
Practice address
1786 Amsterdam Ave
New York, NY 10031-3546
Phone
(212) 548-6557
Fax
(212) 918-8171
NPI assigned
Jul 16, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 354794 NY Primary

Addresses

Primary practice location

1786 Amsterdam Ave
New York, NY 10031-3546

Mailing address

1786 Amsterdam Ave
New York, NY 10031-3546
Phone (212) 548-6557

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
I20260312001383 NY Practitioner - Nurse Practitioner 1850874306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1786 Amsterdam Ave
New York, NY 10031-3546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
354794NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jhonsua Alberto Jimenez Arias LLC CurrentSince Jul 21, 2024 Accepting new patients
Jhonsua Alberto Jimenez Arias Medical PLLC CurrentSince Feb 20, 2026 Accepting new patients

Locations

1786 Amsterdam Ave
New York, NY 10031
Phone 21254865571

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GACFCD/Endpoint/GACFCD

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1245078062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1786 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313546",
            "telephone_number": "212-548-6557",
            "fax_number": "212-918-8171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1786 AMSTERDAM AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100313546",
            "telephone_number": "212-548-6557",
            "fax_number": "212-918-8171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN-MORALES",
        "first_name": "WELLINGTON",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.