Active NPI
Michael O Abbey-Mensah, M.D
- Pediatrics Physician
- Brooklyn, NY
National Provider Identifier
1497853451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 159078
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 159078 | NY | MD | Pediatrics Physician |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
Interoperability endpoints
- moa9066@direct.nyp.org
- https://fhir4.healow.com/fhir/r4/ABDEAA/Endpoint/ABDEAA
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 159078 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00865114 | Medicaid | NY |
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.