Individual provider Active NPI

Monique Abarca

  • Nurse Practitioner
  • Smithtown, NY
National Provider Identifier
1538766902
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
357933 Issued in NY
Practice address
50 New York Ave # 25a
Smithtown, NY 11787-3448
Phone
(904) 372-3943
Fax
(904) 212-1618
NPI assigned
Oct 7, 2020
Last updated
Nov 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 357933 NY Primary
Registered Nurse 163W00000X 729291 NY

Addresses

Primary practice location

50 New York Ave # 25a
Smithtown, NY 11787-3448

Mailing address

7751 Belfort Pkwy Ste 120
Jacksonville, FL 32256-6921
Phone (904) 372-3943

Other practice location 1

13 Westwood Ave
Deer Park, NY 11729-2805
Phone (516) 304-8490

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251008004439 NY Practitioner - Nurse Practitioner 1355848995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes Management Partners LLCGroup PAC ID 9436435385, 66 clinicians

Practice addresses (Care Compare)

200 Belle Terre Rd
Port Jefferson, NY 11777-1928
Phone (904) 372-3948

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
357933NYMDRegistered Nurse
729291NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes Management Partners LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Diabetes Management Partners LLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients

Locations

7751 Belfort Pkwy
Ste 120
Jacksonville, FL 32256

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

50 New York Ave
#25A
Smithtown, NY 11787
Phone (631) 309-5222

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1538766902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7751 BELFORT PKWY STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566921",
            "telephone_number": "904-372-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEW YORK AVE # 25A",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873448",
            "telephone_number": "904-372-3943",
            "fax_number": "904-212-1618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Westwood Ave",
            "address_purpose": "LOCATION",
            "city": "Deer Park",
            "state": "NY",
            "postal_code": "117292805",
            "country_code": "US",
            "telephone_number": "516-304-8490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABARCA",
        "first_name": "MONIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-07",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "357933",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "729291",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.