Yadira Abstengo, NURSE PRACTITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ15034800 Issued in NJ

Practice address

879 Bergen Ave Ste 200
Jersey City, NJ 07306-4405

Phone

(201) 681-0157

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr Eduardo Samaniego - Primary Medical Care LLCGroup PAC ID 8921383381, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Dr Eduardo Samaniego - Primary Medical Care LLC

  • Family Medicine Physician
  • Newark, NJ
  • NPI 1255878468
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1265284137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4032 HIGHWAY 516",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077477064",
            "telephone_number": "908-977-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "879 BERGEN AVE STE 200",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073064405",
            "telephone_number": "201-681-0157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABSTENGO",
        "first_name": "YADIRA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15034800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samah Abouraya
• Nour Aboushaar
• Dawn E Abraham, L.P.N.
• Joel Abramowitz
• James E Abrams, DC
• Shaik Abubakar, MD
• Bilal Abuhaiba
• Access Nursing Services of New Jersey
• Julissa Christine Acebo, LAC
• Lynne Joanne Acierno, MD

• Family Nurse Practitioner in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.

Verify at the official NPI Registry.