Asha Abraham, DNP
Individual provider Active NPI Adult Health Nurse Practitioner · Staten Island, NY
NPI 1497196257 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1497196257
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Health Nurse Practitioner 363LA2200X
- License
- 306549 (NY)
- Practice address
- 1050 Clove Rd
Staten Island, NY 10301-3627 - Phone
- (718) 816-6440
- Fax
- (718) 420-2718
- NPI assigned
- Jul 9, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Arizona College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Advantagecare Physicians PC
Practice addresses (Care Compare)
1050 Clove Rd
Staten Island, NY 10301-3627
Phone (718) 816-6440
233 Nostrand Ave
Brooklyn, NY 11205-4924
Phone (718) 826-5900
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140731001104 | NY | Practitioner - Nurse Practitioner | 3779709555 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current |
Accepting new patients | |
| Advantagecare Physicians PC | Current |
Accepting new patients |
Locations
233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595
55 Water St
Fl 2
New York, NY 10041
4771 Hylan Blvd
Staten Island, NY 10312
Phone (718) 948-8200
1050 Clove Rd
Staten Island, NY 10301
Phone (718) 816-6440
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 306549 | NY | Yes |
Addresses
Primary practice location
1050 Clove Rd
Staten Island, NY 10301-3627
Mailing address
55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888
Other practice location 1
500 N 3rd St
Phoenix, AZ 85004-2135
Phone (602) 496-0772
Other practice location 2
4771 Hylan Blvd
Staten Island, NY 10312-6315
Phone (718) 948-8200
Other providers in Staten Island, NY
- Abdelrahman Mohamed Abouelnas
- Joseph Aboujaoude
- Annamma Abraham Kaba
- Alyssa Abraham
- Amy Abraham
- Cynthia Abraham
- Gina Abraham
- Ifidon Abraham
- Jiji Jose Abraham
- Kenney Abraham
All providers in Staten Island, NY · Adult Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.