Individual provider Active NPI

Abuzar Raghib

  • Adult Health Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1376209114
Registry record updated Nov 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F310448-01 Issued in NY
Practice address
355 Bard Ave
Staten Island, NY 10310-1699
Phone
(844) 516-6585
NPI assigned
Nov 16, 2021
Last updated
Nov 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2021

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 F310448-01 NY Primary

Addresses

Primary practice location

355 Bard Ave
Staten Island, NY 10310-1699

Mailing address

355 Bard Ave
Staten Island, NY 10310-1699
Phone (844) 516-6585

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
I20230601001783 NY Practitioner - Nurse Practitioner 8426415779 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Florida International Univ, College of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HP Medical Care PCGroup PAC ID 3971858341, 3 clinicians

Practice addresses (Care Compare)

7627 37TH Ave
Jackson Heights, NY 11372-6633
Phone (929) 552-2292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F310448-01NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Jul 2, 2023 Accepting new patients
HP Medical Care PC CurrentSince May 16, 2023 Accepting new patients
Cross County Medical Care PC CurrentSince Dec 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Jul 2, 2023 Accepting new patients
New York City Health and Hospitals Corporation Current Accepting new patients

Locations

23811 Braddock Ave
Bellerose, NY 11426
Phone (516) 641-0600

2094 Pitkin Ave
Brooklyn, NY 11207
Phone (718) 240-0400

335 Central Ave
Brooklyn, NY 11221
Phone (646) 614-4900

11620 Queens Blvd
Forest Hills, NY 11375
Phone (718) 401-1510

7627 37th Ave
Jackson Heights, NY 11372
Phone (718) 887-9888

227 Madison St
New York, NY 10002
Phone (212) 238-7000

50 Water St
Fl 3
New York, NY 10004

Networks

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

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, 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": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1376209114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101699",
            "telephone_number": "844-516-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 BARD AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101699",
            "telephone_number": "844-516-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGHIB",
        "first_name": "ABUZAR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F310448-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.