Individual provider Active NPI

Mhawardi Abdurahim, FNP

  • Family Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1306793856
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
357149 Issued in NY
Practice address
20 Hagen Dr Ste 330
Rochester, NY 14625-2664
Phone
(585) 267-4040
NPI assigned
Mar 13, 2026
Last updated
Mar 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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 357149 NY Primary

Addresses

Primary practice location

20 Hagen Dr Ste 330
Rochester, NY 14625-2664

Mailing address

187 Highway 36 Ste 230
West Long Branch, NJ 07764-1306
Phone (732) 702-1039

Other practice location 1

115 Canal Landing Blvd Ste 110
Rochester, NY 14626-5105
Phone (585) 227-1080

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
I20260413000712 NY Practitioner - Nurse Practitioner 9133694680 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

187 Hwy 36
Suite 230
West Long Branch, NJ 07764

PO Box
Suite 95590
South Jordan, UT 84095

PO Box
Suite 95590
South Jordan, UT 84095-0590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
357149NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC PastSince Dec 24, 2023 Accepting new patients
Allied Digestive Health, LLC PastSince Sep 8, 2019 Accepting new patients
Rochester Gastroenterology Associates Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1306793856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 HIGHWAY 36 STE 230",
            "city": "WEST LONG BRANCH",
            "state": "NJ",
            "postal_code": "077641306",
            "telephone_number": "732-702-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HAGEN DR STE 330",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146252664",
            "telephone_number": "585-267-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "115 Canal Landing Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146265105",
            "country_code": "US",
            "telephone_number": "585-227-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDURAHIM",
        "first_name": "MHAWARDI",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "357149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.