Individual provider Active NPI

Stacy Beth Abrams, PHYSICIANS ASSISTANT

  • Physician Assistant
  • New York, NY
National Provider Identifier
1386714491
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007406 Issued in NY
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02644791MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, NC, OH, MA, IN, IL7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20050128000888 NY Practitioner - Physician Assistant 0749230530 Reassigns benefits to 3 organizations
I20130128000479 MI Practitioner - Physician Assistant 0749230530 Reassigns benefits to 1 organization
I20220124002680 NC Practitioner - Physician Assistant 0749230530 Reassigns benefits to 1 organization
I20220913000544 OH Practitioner - Physician Assistant 0749230530 Reassigns benefits to 1 organization
I20221027001082 MA Practitioner - Physician Assistant 0749230530 Reassigns benefits to 1 organization
I20240125003857 IN Practitioner - Physician Assistant 0749230530 Reassigns benefits to 1 organization
I20240209003648 IL Practitioner - Physician Assistant 0749230530 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007406NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Oct 29, 2016 Accepting new patients
Advantagecare Physicians PC CurrentSince Jul 1, 2021 Accepting new patients
Trustees of Columbia University in the City of New York Physician Assistant CurrentSince Aug 1, 2018 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

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.