Individual provider Active NPI

Michael O Abbey-Mensah, M.D

  • Pediatrics Physician
  • Brooklyn, NY
National Provider Identifier
1497853451
Registry record updated Jul 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
159078 Issued in NY
Practice address
437 Mother Gaston Blvd
Brooklyn, NY 11212-7617
Phone
(718) 485-2704
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
159078NYMDPediatrics Physician

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: moa9066@direct.nyp.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABDEAA/Endpoint/ABDEAA

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 159078 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

437 Mother Gaston Blvd
Brooklyn, NY 11212-7617

Mailing address

322 Nassau Ave
Freeport, NY 11520-6119
Phone (718) 485-2704

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00865114MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 13, 2014.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405209600000",
    "number": "1497853451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 NASSAU AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115206119",
            "telephone_number": "718-485-2704",
            "fax_number": "516-385-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 MOTHER GASTON BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112127617",
            "telephone_number": "718-485-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBEY-MENSAH",
        "first_name": "MICHAEL",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2014-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "159078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00865114",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.