Individual provider Active NPI

Nana Abrams, OD

  • Optometrist
  • Flushing, NY
National Provider Identifier
1508963638
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TUV006132 Issued in NY
Practice address
4161 Kissena Blvd
Flushing, NY 11355-3105
Phone
(718) 353-5970
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TUV006132 NY Primary

Addresses

Primary practice location

4161 Kissena Blvd
Flushing, NY 11355-3105

Mailing address

6740 Yellowstone Blvd
Apt 4P
Forest Hills, NY 11375-2668

Other identifiers 1

IdentifierTypeStateIssuer
02144109MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nabrams287933@nyumc.direct-ci.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040817001474 NY Practitioner - Optometry 4486627486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
State University of New York - State College Optometry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

4161 Kissena Blvd
Suite C24
Flushing, NY 11355-3181
Phone (718) 661-3800

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006132NYMDMental Health Counselor
TUV006132NYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Feb 9, 2017 Accepting new patients
New York University CurrentSince Apr 1, 2019 Accepting new patients
New York University CurrentSince Apr 1, 2019 Accepting new patients
Sheldon Rabin, M.D., P.C. Past Accepting new patients

Locations

4370 Kissena Blvd
Lbby D
Flushing, NY 11355
Phone (718) 353-5970

4370 Kissena Blvd
Flushing, NY 11355
Phone (718) 353-5970

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

1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600

300 Community Dr
Plandome, NY 11030

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Interoperability endpoints

  • Direct secure messaging: nabrams287933@nyumc.direct-ci.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1508963638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6740 YELLOWSTONE BLVD",
            "address_2": "APT 4P",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4161 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553105",
            "telephone_number": "718-353-5970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAMS",
        "first_name": "NANA",
        "name_prefix": "Mrs.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NY",
            "license": "TUV006132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02144109",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nabrams287933@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "4370 Kissena Blvd",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113553769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.