Mary Abbott, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

341982-1 Issued in NY

Practice address

35 Arlington Rd
Lake Ronkonkoma, NY 11779-1605

Phone

(631) 471-3411

NPI assigned

Mar 18, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1268870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268870400000",
    "number": "1306160304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ARLINGTON RD",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117791605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 ARLINGTON RD",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117791605",
            "telephone_number": "631-471-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-18",
        "last_updated": "2010-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "341982-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Thomas Adam, O.D.
• Salma Afroze, DO
• Dawn Marie Agnese Diaz, PT
• Khadiga Ahmed, DO
• Anisa Ali-Perez, PA

• Community Health Registered Nurse in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Community Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.