Individual provider Active NPI

Ishack Abdul, NP

  • Family Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1538768437
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F346798 Issued in NY
Practice address
932 Southern Boulevard
Bronx, NY 10459-4506
Phone
(646) 680-5250
Fax
(646) 751-6937
NPI assigned
Oct 21, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F346798 NY Primary

Addresses

Primary practice location

932 Southern Boulevard
Bronx, NY 10459-4506

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

2044 Westchester Avenue
Suite 201
Bronx, NY 10462-4559
Phone (646) 680-5200

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
I20210413002760 NY Practitioner - Nurse Practitioner 4183032071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

932 Southern Blvd
Bronx, NY 10459-4506
Phone (646) 680-5250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F346798NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jun 7, 2021 Accepting new patients
Young Adult Institute, Inc. CurrentSince Aug 1, 2022 Accepting new patients
Advantagecare Physicians PC Family Medicine CurrentSince Jun 7, 2021 Accepting new patients

Locations

21111 Northern Blvd
Bayside, NY 11361
Phone (212) 563-7474

932 Southern Blvd
Bronx, NY 10459
Phone (646) 680-5200

2044 Westchester Ave
Frnt 1
Bronx, NY 10462
Phone (646) 680-5200

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

175 Remsen St
Fl 4
Brooklyn, NY 11201
Phone (212) 273-6182

55 Water St
Fl 2
New York, NY 10041

460 W 34th St
Fl 9
New York, NY 10001
Phone (212) 273-6515

12506 101st Ave
South Richmond Hl, NY 11419
Phone (718) 849-2900

Networks

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

Interoperability endpoints

  • Direct secure messaging: iabdul39422@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 3

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": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1538768437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 SOUTHERN BOULEVARD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594506",
            "telephone_number": "646-680-5250",
            "fax_number": "646-751-6937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2044 Westchester Avenue",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104624559",
            "country_code": "US",
            "telephone_number": "646-680-5200",
            "fax_number": "646-751-6937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDUL",
        "first_name": "ISHACK",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-21",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F346798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.