Individual provider Active NPI

Dea E Abbene, NP

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1457511958
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303013 Issued in NY
Practice address
Sbuh 15 North
15 North Room 082 Zip 7151
Stony Brook, NY 11794-7151
Phone
(631) 444-1234
Fax
(631) 444-1235
NPI assigned
Jun 10, 2008
Last updated
Jun 10, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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 F303013 NY Primary

Addresses

Primary practice location

Sbuh 15 North
15 North Room 082 Zip 7151
Stony Brook, NY 11794-7151

Mailing address

Sbuh 15 North
15 North Room 082 Zip 7151
Stony Brook, NY 11794-7151
Phone (631) 444-1234

Medicare participation

Medicare enrollment files
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303013NYMDLicensed Practical Nurse
F303013NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1457511958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SBUH 15 NORTH",
            "address_2": "15 NORTH ROOM 082 ZIP 7151",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117947151",
            "telephone_number": "631-444-1234",
            "fax_number": "631-444-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SBUH 15 NORTH",
            "address_2": "15 NORTH ROOM 082 ZIP 7151",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117947151",
            "telephone_number": "631-444-1234",
            "fax_number": "631-444-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBENE",
        "first_name": "DEA",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

Verify at the official NPI Registry.