Individual provider Active NPI

Kelly Abramopaulos, NP

  • Primary Care Nurse Practitioner
  • Glen Ridge, NJ
National Provider Identifier
1487107389
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00654400 Issued in NJ
Practice address
946 Bloomfield Ave Ste 1
Glen Ridge, NJ 07028-1308
Phone
(973) 743-1121
NPI assigned
Jul 27, 2016
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NJ00654400 NJ Primary
Registered Nurse 163W00000X 26NR15559400 NJ

Addresses

Primary practice location

946 Bloomfield Ave Ste 1
Glen Ridge, NJ 07028-1308

Mailing address

946 Bloomfield Ave Ste 1
Glen Ridge, NJ 07028-1308
Phone (973) 743-1121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20170421000162 NJ Practitioner - Nurse Practitioner 1850677105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MPV New Jersey MD Services PCGroup PAC ID 5991097669, 146 clinicians

Practice addresses (Care Compare)

250 Old Hook Rd
Westwood, NJ 07675-3123
Phone (201) 880-2700

622 Franklin Ave
Nutley, NJ 07110-1247
Phone (973) 661-1900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.09 of 100Reported as apm
Quality
86.89
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NR15559400NJMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
MPV New Jersey MD Services PC CurrentSince Apr 1, 2022 Accepting new patients
MPV New Jersey MD Services PC CurrentSince Apr 1, 2022 Accepting new patients
Medical Associates of Englewood, PC CurrentSince Mar 1, 2017 Accepting new patients

Locations

452 Old Hook Rd
Fl 2
Emerson, NJ 07630
Phone (201) 599-1336

946 Bloomfield Ave
Glen Ridge, NJ 07028
Phone (973) 376-3259

946 Bloomfield Ave
Ste 1
Glen Ridge, NJ 07028
Phone (973) 743-0061

24 Elm St
Ste 203
Harrington Pk, NJ 07640
Phone (201) 784-0123

250 Old Hook Rd
Westwood, NJ 07675
Phone (201) 358-3000

Interoperability endpoints

  • Direct secure messaging: kschimpf188941@ahs.direct-ci.com
  • Direct secure messaging: kschimpf236801@direct.englewoodhealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1487107389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 BLOOMFIELD AVE STE 1",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281308",
            "telephone_number": "973-743-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 BLOOMFIELD AVE STE 1",
            "city": "GLEN RIDGE",
            "state": "NJ",
            "postal_code": "070281308",
            "telephone_number": "973-743-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMOPAULOS",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00654400",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR15559400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Ridge, NJ

Sources for this page

Verify at the official NPI Registry.