Keisha Abraham-Cornely

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347349 Issued in NY

Practice address

1650 Grand Concourse
Bronx, NY 10457-7606

Phone

(914) 562-3090

NPI assigned

Nov 7, 2021

Last updated

Nov 7, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jze9002@direct.nyp.org
• Direct secure messaging: keishaabraham-cornely@nslijmedgr.allscriptsdirect.net

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.

• North Shore - Lij Medical PC

  dba NSLIJ Medical In Queens

  • Internal Medicine Physician
  • New Hyde Park, NY
  • NPI 1790043479
  NPD
• North Shore-Lij Medical PC

  dba NHPP Cardiology at Great Neck

  • Urology Physician
  • Great Neck, NY
  • NPI 1053688572
  NPD
• Planned Parenthood Hudson Peconic Inc.

  • Ambulatory Family Planning Facility
  • Smithtown, NY
  • NPI 1285701672
  NPD
• Planned Parenthood HP

  • Health Maintenance Organization
  • West Islip, NY
  • NPI 1588729560
  NPD (past)

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

{
    "created_epoch": "1636243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636243200000",
    "number": "1396400040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 GRAND AVE FL 6",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104537710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104577606",
            "telephone_number": "914-562-3090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM-CORNELY",
        "first_name": "KEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-07",
        "last_updated": "2021-11-07",
        "certification_date": "2021-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hayam Shaker Aboubakr
• Ahmed Abdelrahim Mohamed Aboumohamed, M.D.
• Above and Beyond Early Intervention LLC
• Khaled Mostafa Abozeid, KHALED
• Abraham Operations Associates LLC (Beth Abraham Center for Rehabilitation and Nursing)
• Aleena Maria Abraham, MD
• Ami Abraham, DO
• Amy Abraham, MD
• Charlene Naomi Abraham, CNM
• Cyril Paul Abraham, MD

• Family Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2021; 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.

Verify at the official NPI Registry.