Active NPI
Stacy Beth Abrams, PHYSICIANS ASSISTANT
- Physician Assistant
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007406
- Practice address
- 622 W 168 Street
PH 1137 Columbia University Med Center
New York, NY 10032-3784 - Phone
- (212) 305-2995
- Fax
- (212) 305-6792
- NPI assigned
- Nov 8, 2006
- Last updated
- Oct 2, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007406 | NY | Primary |
Addresses
Primary practice location
622 W 168 Street
PH 1137 Columbia University Med Center
New York, NY 10032-3784
Mailing address
622 W 168TH St PH 1137
New York, NY 10032-3784
Phone (212) 305-2995
Other practice location 1
500 E Main St Ste 105
Columbus, OH 43215-5619
Phone (833) 904-2273
Other practice location 2
495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3782
Phone (833) 904-2273
Other practice location 3
100 Grove St Ste 115
Worcester, MA 01605-2630
Phone (833) 904-2273
Other practice location 4
15416 N Florida Ave Ste 203
Tampa, FL 33613-1239
Phone (833) 904-2273
Other practice location 5
4444 The Plz Unit 18
Charlotte, NC 28215-2189
Phone (336) 360-2407
Other practice location 6
16115 LaSalle Street
South Holland, IL 60473
Phone (833) 904-2273
Other practice location 7
1259 Bedford Ave
Brooklyn, NY 11216-1813
Phone (833) 904-2273
Other practice location 8
2301 N Meridian St
Indianapolis, IN 46208-5729
Phone (833) 904-2273
Other practice location 9
26026 W 12 Mile Rd Ste 202
Southfield, MI 48034-1783
Phone (833) 904-2273
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02644791 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, MI, NC, OH, MA, IN, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007406 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Physician Assistant | Current | Accepting new patients |
| Metro Emergency Medical Association PLLC | Past | Accepting new patients |
Locations
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
300 Community Dr
Manhasset, NY 11030
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
622 W 168th St
Ph 1137
New York, NY 10032
Phone (212) 305-2575
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- stacy.abrams.1@27775.direct.athenahealth.com
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.
-
dba AdvantageCare Physicians
- General Practice Physician
- New York, NY
- NPI 1336578772
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Surgery Physician
- New York, NY
- NPI 1508266347
-
- Primary Care Clinic/Center
- Columbus, OH
- NPI 1013673821
-
- Internal Medicine Physician
- Indianapolis, IN
- NPI 1588296784
IL, MA, MI, NC
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
Physician Assistant
-
- Emergency Medicine Physician
- New York, NY
- NPI 1134159502
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790899200000",
"number": "1386714491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "622 W 168TH ST PH 1137",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323784",
"telephone_number": "212-305-2995",
"fax_number": "212-305-6792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "622 W 168 STREET",
"address_2": "PH 1137 COLUMBIA UNIVERSITY MED CENTER",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323784",
"telephone_number": "212-305-2995",
"fax_number": "212-305-6792"
}
],
"practiceLocations": [
{
"address_1": "500 E Main St Ste 105",
"address_purpose": "LOCATION",
"city": "Columbus",
"state": "OH",
"postal_code": "432155619",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "495 Flatbush Ave Ste C5",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112253782",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Grove St Ste 115",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016052630",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15416 N Florida Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336131239",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4444 The Plz Unit 18",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282152189",
"country_code": "US",
"telephone_number": "336-360-2407",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16115 LaSalle Street",
"address_purpose": "LOCATION",
"city": "South Holland",
"state": "IL",
"postal_code": "60473",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1259 Bedford Ave",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112161813",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2301 N Meridian St",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462085729",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26026 W 12 Mile Rd Ste 202",
"address_purpose": "LOCATION",
"city": "Southfield",
"state": "MI",
"postal_code": "480341783",
"country_code": "US",
"telephone_number": "833-904-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ABRAMS",
"first_name": "STACY",
"middle_name": "BETH",
"credential": "PHYSICIANS ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2026-10-02",
"certification_date": "2026-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007406",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02644791",
"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 Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.