Individual provider Active NPI

Nicole Abbene, NP

  • Adult Health Nurse Practitioner
  • East Northport, NY
National Provider Identifier
1326877168
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
307328 Issued in NY
Practice address
554 Larkfield Rd Ste 10G
East Northport, NY 11731-4205
Phone
(631) 230-6644
NPI assigned
Jul 30, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 307328 NY Primary

Addresses

Primary practice location

554 Larkfield Rd Ste 10G
East Northport, NY 11731-4205

Mailing address

7 Oakside Rd
Smithtown, NY 11787-1545
Phone (631) 352-9326

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
I20250305001229 NY Practitioner - Nurse Practitioner 1052832110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
307328NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Jennifer McMonigle Medical, P.C. Single Specialty CurrentSince Feb 1, 2025 Accepting new patients

Locations

554 Larkfield Rd
Ste 10G
East Northport, NY 11731
Phone (631) 230-6644

300 Garden City Plz
Ste 330
Garden City, NY 11530
Phone (516) 268-3026

400 Garden City Plz
Ste 103
Garden City, NY 11530
Phone (631) 230-6644

Organizations & group practices 1

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": "1722297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1326877168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OAKSIDE RD",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117871545",
            "telephone_number": "631-352-9326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 LARKFIELD RD STE 10G",
            "city": "EAST NORTHPORT",
            "state": "NY",
            "postal_code": "117314205",
            "telephone_number": "631-230-6644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBENE",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "307328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Northport, NY

Sources for this page

Verify at the official NPI Registry.