Individual provider Active NPI

Wabiyn Ati

  • Registered Nurse
  • Central Islip, NY
National Provider Identifier
1346024726
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
990202 Issued in NY
Practice address
80107 Circle Dr
Central Islip, NY 11722-5205
Phone
(631) 804-7102
NPI assigned
Aug 24, 2023
Last updated
May 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 990202 NY Primary
Licensed Practical Nurse 164W00000X 330982-01 NY

Addresses

Primary practice location

80107 Circle Dr
Central Islip, NY 11722-5205

Mailing address

80107 Circle Dr
Central Islip, NY 11722-5205
Phone (631) 804-7102

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
990202NYMDRegistered Nurse
330982-01NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1346024726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80107 CIRCLE DR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117225205",
            "telephone_number": "631-804-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80107 CIRCLE DR",
            "city": "CENTRAL ISLIP",
            "state": "NY",
            "postal_code": "117225205",
            "telephone_number": "631-804-7102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATI",
        "first_name": "WABIYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-24",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "990202",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "330982-01",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.