David Abayev, D.O.

Individual provider Active NPI Obstetrics & Gynecology Physician · Rego Park, NY

NPI 1366495517 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1366495517
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
235009 (NY)
Practice address
9785 Queens Blvd
Rego Park, NY 11374-3319
Phone
(347) 267-5543
Fax
(212) 744-3816
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3141 45TH St
Astoria, NY 11103-1621
Phone (718) 274-2600

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050715000026 NY Practitioner - Obstetrics/Gynecology
Practitioner - Osteopathic Manipulative Medicine
0941236467 Reassigns benefits to 3 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy, Doctor of Medicine

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
New York University Obstetrics & Gynecology Current
since May 1, 2011
Accepting new patients
Newyork-Presbyterian/Queens Obstetrics & Gynecology Current
since Apr 6, 2009
Accepting new patients
Newyork-Presbyterian-Queens Current
since Apr 6, 2009
Accepting new patients
David Abayev Gynecology PC Obstetrics & Gynecology Current
since Apr 9, 2006
Accepting new patients
Iouri Sobol Medical PC Past Accepting new patients

Locations

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

10311 68th Dr
Forest Hills, NY 11375
Phone (347) 642-5315

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

14445 87th Ave
Jamaica, NY 11435
Phone (718) 239-0030

3141 45th St
Long Island City, NY 11103
Phone (718) 274-2600

9785 Queens Blvd
Rego Park, NY 11374
Phone (631) 360-0266

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: daa9099@direct.nyp.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 235009 NY Yes

Addresses

Primary practice location

9785 Queens Blvd
Rego Park, NY 11374-3319

Mailing address

10245 62ND Rd Apt 2D
Forest Hills, NY 11375-1017
Phone (347) 267-5543

Other identifiers

IdentifierTypeStateIssuer
02681478MedicaidNY

Other providers in Rego Park, NY

All providers in Rego Park, NY · Obstetrics & Gynecology Physician in New York

Sources for this page

Verify at the official NPI Registry.