Individual provider Active NPI

Audrey Ann Abatemarco, DPM

  • Podiatrist
  • New York, NY
National Provider Identifier
1346336948
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
003693 Issued in NY
Practice address
20 Monroe St LF1
New York, NY 10002-7605
Phone
(212) 962-3919
Fax
(212) 227-0523
NPI assigned
Oct 4, 2006
Last updated
Dec 21, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 003693 NY Primary

Addresses

Primary practice location

20 Monroe St LF1
New York, NY 10002-7605

Mailing address

40 Monroe St Fi3
New York, NY 10002-7726
Phone (212) 962-3919

Other identifiers 14

IdentifierTypeStateIssuer
134527655 0005OtherNYCIGNA
4510217OtherNYAETNA
1314314OtherNYFIRST HEALTH
PG 7301OtherNYBC/BS
050127000029OtherNYFIDELIS CARE
10210444OtherNYAMERIGROUP
P515833OtherNYOXFORD
00877409MedicaidNY
1315314OtherNYCOVENTRY HEALTHCARE
50079OtherNYGHI EMBLEMHEALTH PPO
0050079OtherNYGHI
100096978201OtherNYAMERICHOICE UNITED HEALTH CARE
1346336948OtherNYAARP MEDICARE COMPLETE SECURE HORIZONS
P515833OtherNYOXFORD MEDICARE COMPLETE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091217000104 NY Practitioner - Podiatry 7315087681 Reassigns benefits to 3 organizations
Practice locations: New York, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003693NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Cesare Gaspari DPM PLLC CurrentSince Aug 11, 2018 Accepting new patients
Intermed Care PC CurrentSince Jul 22, 2016 Accepting new patients
Cesare Gaspari DPM PLLC Podiatrist CurrentSince Aug 11, 2018 Accepting new patients
Parcare Community Health Network Inc CurrentSince Dec 12, 2016 Accepting new patients
Parcare Community Health Network Inc CurrentSince Dec 12, 2016 Accepting new patients
Dr. Audrey Abatemarco D.P.M. Past Accepting new patients
Mt Kisco Podiatry Associates PC Podiatrist PastSince Nov 6, 2012 Accepting new patients

Locations

3048 Brighton 1st St
Brooklyn, NY 11235
Phone (718) 368-1170

3048 Brighton 1st St
Ste 1
Brooklyn, NY 11235
Phone (718) 368-1170

375 Jay St
Ste 2
Brooklyn, NY 11201
Phone (718) 243-0100

445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320

6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100

5316 Roosevelt Ave
Ste 2
Woodside, NY 11377
Phone (212) 684-1900

Organizations & group practices 7

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1346336948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MONROE ST FI3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027726",
            "telephone_number": "212-962-3919",
            "fax_number": "212-227-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 MONROE ST LF1",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027605",
            "telephone_number": "212-962-3919",
            "fax_number": "212-227-0523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABATEMARCO",
        "first_name": "AUDREY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "003693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "134527655 0005",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4510217",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1314314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "PG 7301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE",
            "identifier": "050127000029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10210444",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P515833",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00877409",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "1315314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI EMBLEMHEALTH PPO",
            "identifier": "50079",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0050079",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE UNITED HEALTH CARE",
            "identifier": "100096978201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARP MEDICARE COMPLETE SECURE HORIZONS",
            "identifier": "1346336948",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD MEDICARE COMPLETE",
            "identifier": "P515833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.