Active NPI
Ishack Abdul, NP
- Family Nurse Practitioner
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F346798
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| F346798 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Young Adult Institute, Inc. | Current | Accepting new patients | |
| Advantagecare Physicians PC | Family Medicine | Current | 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
- iabdul39422@direct.acpny.com
- 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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
Family Medicine
-
- Developmental Disabilities Clinic/Center
- New York, NY
- NPI 1144314576
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.