Individual provider Active NPI

Mersema Tesfaye Abate, MD

  • Nephrology Physician
  • East Setauket, NY
National Provider Identifier
1497950133
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
250029 Issued in NY
Practice address
26 Research Way
East Setauket, NY 11733-3526
Phone
(631) 444-0580
Fax
(631) 444-0562
NPI assigned
Jun 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 250029 NY Primary

Addresses

Primary practice location

26 Research Way
East Setauket, NY 11733-3526

Mailing address

26 Research Way
East Setauket, NY 11733-3526
Phone (631) 444-0580

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090624000138 NY Practitioner - NephrologyPractitioner - Internal Medicine 3577614015 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

27005 75TH Ave
New Hyde Park, NY 11040-1402
Phone (718) 470-7000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Claxton Medical PC Nephrology CurrentSince Aug 18, 2019 Accepting new patients
Claxton Medical PC CurrentSince Aug 18, 2019 Accepting new patients
North Shore - Lij Medical PC CurrentSince Sep 9, 2019 Accepting new patients
North Shore-Lij Medical PC CurrentSince Sep 9, 2019 Accepting new patients
Claxton-Hepburn Medical Center CurrentSince May 27, 2019 Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

300 Community Dr
Plandome, NY 11030

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: mersemaabate@nslijmedgr.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1182297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1497950133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 RESEARCH WAY",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333526",
            "telephone_number": "631-444-0580",
            "fax_number": "631-444-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 RESEARCH WAY",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117333526",
            "telephone_number": "631-444-0580",
            "fax_number": "631-444-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABATE",
        "first_name": "MERSEMA",
        "middle_name": "TESFAYE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-20",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "250029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.