Individual provider Active NPI

Alex Abraham, FNP

  • Family Nurse Practitioner
  • Pomona, NY
National Provider Identifier
1467075812
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
346701 Issued in NY
Practice address
1 Marion CT
Pomona, NY 10970-2634
Phone
(845) 729-4423
NPI assigned
May 20, 2020
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 346701 NY Primary
General Practice Registered Nurse 163WG0000X 530437 NY

Addresses

Primary practice location

1 Marion CT
Pomona, NY 10970-2634

Mailing address

1 Marion CT
Pomona, NY 10970-2634
Phone (845) 729-4423

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
I20201229001290 NY Practitioner - Nurse Practitioner 2163835729 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Director Services PCGroup PAC ID 0042501116, 79 clinicians

Practice addresses (Care Compare)

612 Allerton Ave
Bronx, NY 10467-7404
Phone (718) 519-4125

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
530437NYMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
JDS Medical Services PC CurrentSince Jan 10, 2026 Accepting new patients
Patient First Medical Practice PC CurrentSince Jul 26, 2023 Accepting new patients
Satya Medical Associate PLLC CurrentSince Mar 11, 2024 Accepting new patients
Abraham Care NP Family Health PLLC CurrentSince Apr 28, 2025 Accepting new patients
Medical Director Services PC CurrentSince Nov 1, 2020 Accepting new patients

Locations

612 Allerton Ave
Bronx, NY 10467
Phone (718) 519-4125

50 Sheffield Ave
Brooklyn, NY 11207
Phone (718) 250-8789

1311 Virginia St
Far Rockaway, NY 11691
Phone (718) 327-2908

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • 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": "1589932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1467075812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MARION CT",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702634",
            "telephone_number": "845-729-4423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MARION CT",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702634",
            "telephone_number": "845-729-4423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAM",
        "first_name": "ALEX",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-20",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "346701",
            "primary": true
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "530437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, NY

Sources for this page

Verify at the official NPI Registry.