Individual provider Active NPI

Oscar Dimaculangan Abarentos

  • Registered Nurse
  • Maspeth, NY
National Provider Identifier
1306527486
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
550779 Issued in NY
Practice address
64-01 55 Avaenue
Maspeth, NY 11378-1623
Phone
(347) 237-7058
NPI assigned
Jul 31, 2023
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
550779NYMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 550779 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

64-01 55 Avaenue
Maspeth, NY 11378-1623

Mailing address

64-01 55 Avaenue
Maspeth, NY 11378-1623
Phone (347) 237-7058

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 31, 2023.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690761600000",
    "number": "1306527486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64-01 55 AVAENUE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781623",
            "telephone_number": "347-237-7058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64-01 55 AVAENUE",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113781623",
            "telephone_number": "347-237-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABARENTOS",
        "first_name": "OSCAR",
        "middle_name": "DIMACULANGAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "550779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maspeth, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.