Organization Active NPI

Dr. Audrey Abatemarco D.P.M.

  • Customized Equipment (DME)
  • New York, NY
National Provider Identifier
1356517346
Registry record updated Apr 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
N003693-2 Issued in NY
Legal business name
DR. AUDREY ABATEMARCO D.P.M.
Practice address
63 Catherine St
New York, NY 10038-1307
Phone
(212) 227-0523
Fax
(212) 842-2451
NPI assigned
Apr 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2008

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

Authorized official

Name
Audrey Ann Abatemarco, DPMNPI 1346336948
Title
Doctor of Podiatry Medicine
Phone
(212) 227-0523

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X N003693-2 NY Primary

Addresses

Primary practice location

63 Catherine St
New York, NY 10038-1307

Mailing address

40 Monroe St
Fi3
New York, NY 10002-7793
Phone (212) 227-0523

Other identifiers 11

IdentifierTypeStateIssuer
PG7301OtherNYBLUE CROSS BLUE SHIELD
0050079OtherNYGHI
10210444OtherNYAMERIGROUP
1314314OtherNYCOVENTRY HEALTH
1345276440005OtherNYCIGNA
P515833OtherNYOXFORD
00877409MedicaidNY
4510217OtherNYAETNA
5798140001OtherNYDMERC
050127000029OtherNYFIDELIS
1314314OtherNYFIRST HEALTH

National Provider Directory

National Provider Directory

Locations

63 Catherine St
New York, NY 10038
Phone (212) 227-0523

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209513600000",
    "number": "1356517346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MONROE ST",
            "address_2": "FI3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100027793",
            "telephone_number": "212-227-0523",
            "fax_number": "212-842-2451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 CATHERINE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100381307",
            "telephone_number": "212-227-0523",
            "fax_number": "212-842-2451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. AUDREY ABATEMARCO D.P.M.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-30",
        "last_updated": "2008-04-30",
        "status": "A",
        "authorized_official_last_name": "ABATEMARCO",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "DOCTOR OF PODIATRY MEDICINE",
        "authorized_official_telephone_number": "212-227-0523",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "N003693-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "PG7301",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0050079",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10210444",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "1314314",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1345276440005",
            "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": "AETNA",
            "identifier": "4510217",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "5798140001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "050127000029",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1314314",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; 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.